Outreach Care Specialist

🕒 5 days ago

🐎 Kentucky, Ohio, +2 more states – Remote

🐎 Kentucky – Remote 🏈 Ohio – Remote 🎸 Tennessee – Remote 🍑 Georgia – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 20%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 6 days.
• Jobs at this company usually fill in 21 days.
• Reposted once.
• No salary listed.

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Elevance Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Elevance Health is transforming from a traditional health benefits organization into a lifetime trusted health partner, driven by a bold purpose to improve the health of humanity. With nearly 100,000 associates, they serve over 118 million people and utilize an integrated whole health approach supported by industry-leading capabilities and a digital health platform. Their mission includes redefining health, reimagining the health system, and strengthening communities.

📋 Description

• Initiates and manages clinical referrals and orders, including specialists, labs, and imaging centers • Coordinates follow-up care plan needs by scheduling appointments or enrolling members in programs • Assesses member compliance with medical treatment plans by telephone or through on-site visits • Identifies barriers to plan compliance and coordinates resolutions • Identifies opportunities that impact quality goals and recommends process improvements • Supports medical record audits for HEDIS/Star program goals • Recommends treatment plan modifications and determines the need for additional services 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 documenting case and compliance updates • Participates in cross-functional teams on projects, initiatives, and process improvement activities • Establishes and maintains relationships with agencies identified in appropriate contracts

🎯 Requirements

• 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 • Minimum 1 year of DME ordering experience preferred • Experience dealing with vendors and insurance companies preferred • Ability to manage multiple tasks at one time • Microsoft Office proficiency (Word, Excel, PowerPoint & Outlook) • Minimum 2 years’ experience with clinical systems (electronic medical record, care management, or population health management) • Excellent verbal and written communication skills • Ability to speak clearly and concisely and convey complex or detailed information understandably • Ability to understand and interpret complex clinical information from others • Bilingual candidates preferred • Must be within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law • PTA/OTA with at least one year of experience preferred • BS/BA degree in a related field preferred

🏖️ Benefits

• Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical benefits • Dental benefits • Vision benefits • Short-term disability benefits • Long-term disability benefits • 401(k) + match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources • Virtual full-time work flexibility • Required in-person training sessions • Accommodation for the application process where applicable

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