Outreach Care Specialist
About The Position
A proud member of the Elevance Health family of companies, Carelon Behavioral Health uses our powerful combination of experience, expertise, dedication and compassion to see what's possible and what's better. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges. The Outreach Care Specialist I is responsible for ensuring that all day to day activities remain in operation for the benefit of the members with primary support to the case managers.
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.
Nice To Haves
- BS/BA degree in a related field (Human Services, Social Work, Psychology, Substance Abuse, etc.) preferred.
- Non- licensed Case Manager experience, where one is able to assist in engaging members in services and share resources.
- 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.
Responsibilities
- Ensures that all reports are completed timely, regulations are met as well as timeliness standards for follow up.
- Mandatory monthly reports and meetings.
- Ensure the Plan is in compliance with the state metrics.
- Identifies opportunities that impact quality goals and recommends process improvements.
- Establishes and maintains relationships with agencies identified in appropriate contract.
- Identifies barriers to plan compliance and coordinates resolutions.
- Identifies opportunities that impact quality goals and recommends process improvements.
- Prepares reports to document case and compliance updates.
Benefits
- In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
