Outreach Care Specialist

Location:
Virtual
:
This role enables associates to work virtually full-time, except for required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development.

Alternate locations may be considered if candidatesresidewithin a commuting distance from an office

This position will have a schedule of 8:30am-5pm EST.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unlessaccommodationis granted as required by law.

The Outreach Care Specialist supports various initiatives related to the Rural Health Transformation Grant.

How you will make an impact:

Promotes coordination and integration of family‑centered care to ensure participation and involvement of family and/or caregivers.

Supports the development of family/caregiver Project ECHO sessions as it relates to identified needs.

This role will help ensure identification and outreach to traditional and nontraditional community settings where families gather.

This role will promote culturally responsive and inclusive engagement strategies as well as development of trusted connections to increase family participation and access to services.

Responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.

Primary duties may include, but are not limited to
:

• 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.

Minimum Requirements:

Requires a H.S. diploma or equivalent and a minimum of 1 year 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 and/or BS/BA degree in a related field preferred. Bilingual candidates 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. For Carelon - Care Bridge business unit, bilingual or multi‑language skills may be required.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy,…