Job Information
Elevance Health Outreach Care Specialist Lead in Plainfield, Indiana
Outreach Care Specialist Lead
Location: This is a community, field based position in Indianapolis, IN. Ideal candidates will reside in Marion county, Indiana.
The Outreach Care Specialist Lead is responsible for ensuring that appropriate member treatment plans are followed on the most complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.
How you will make an impact:
Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
Assesses member compliance with medical treatment plans via telephone or through on-site visits.
Identifies barriers to plan compliance and coordinates resolutions.
Identifies opportunities that impact quality goals and recommends process improvements.
Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.
Coordinates identification of and referral to local, state or federally funded programs.
Coaches members on ways to reduce health risks.
Prepares reports to document case and compliance updates.
Establishes and maintains relationships with agencies identified in appropriate contract.
Serves as a team lead.
Participates in cross-functional teams on projects, initiatives, and process improvement activities.
Minimum Requirements:
- Requires a high school diploma and 5 years of related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Certified nurse assistant or certified medical assistant preferred and/or BS/BA degree in a related field preferred.
Bilingual candidates preferred.
Knowledge of behavioral health and physical health conditions preferred.
Experience with electronic health records preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.