Outreach Care Specialist

Job Description

Position Title: Outreach Care Specialist

Location: Virtual – This role enables associates to work virtually full-time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy.

Work Schedule: Monday – Friday 8:00am – 5pm CST

The Outreach Care Specialist is 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.

• Coordinates follow‑up care plan needs for members by scheduling appointments and programs.
• Assesses member compliance with medical treatment plans via telephone or 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 providers.
• 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.

• High school diploma and a minimum of 1 year related experience; or any combination of education and experience that provides an equivalent background.

• Experience working with obstetric health.
• Call center (outbound/inbound) experience preferred.
• BS/BA degree in a related field preferred.
• Bilingual Spanish candidates preferred.
• Strong oral, written and interpersonal communication skills, problem‑solving, facilitation and analytical skills.

The salary range for this specific position is $18.31/hr to $26.50/hr (virtual). Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. Eligibility requirements apply. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race or any other category protected by federal, state or local pay‑equity laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.