- 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.
- Requires a high school diploma and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
- Behavioral health experience strongly preferred.
- Experience with mental health and substance use disorders preferred.
- 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.
-
Care specialist
4 days ago
Velocity Ventures Covington, OK, United States Freelance**We are looking for you as a support specialist (m/f/d) for our special living facility in Friedberg, Covington, OK**: · The Wetteraukreis gGmbH for people with disabilities (bhw) promotes, supports, and accompanies people with intellectual and multiple disabilities. Social part ...
-
Floor Care Specialist
3 weeks ago
Office Environments Inwood, United States**Office Environments** is in recruiting an experienced and hardworking **full-time Floor Care Specialist** to strip, buff, and wax the hard floors, as well as clean the carpets for our **Hagerstown, MD** commercial clients. · This janitorial position **works a typical night shif ...
-
customer care specialist
1 week ago
JBS USA Holdings, Inc. Mason, United StatesThis position supports the Empire warehouse team with allocation entries of shipping orders into SAP. Maintaining inventory allocation for all divisions and data entry. ESSENTIAL JOB DUTIES: Input all inventory allocations into SAP Shipping system ac Customer Care, Specialist, In ...
-
Outreach Care Specialist
2 weeks ago
Elevance Health Mason, United StatesOutreach Care Specialist · Location · : This is a · hybrid · role. Associates will be working from home and out in the community (up to 30% of the time will be in the field). We are seeking candidates in · Ohio · and in the following areas : · Columbus, Cleveland and Cincin ...
-
Outreach Care Specialist
1 week ago
Elevance Health Mason, United StatesOutreach Care SpecialistLocation : This is a hybrid role. Associates will be working from home and out in the community (up to 30% of the time will be in the field). We are seeking candidates in Ohio and in the following areas : Columbus, Cleveland and Cincinnati.Work Schedule : ...
-
customer care specialist
1 week ago
JBS USA Holdings, Inc. Mason, United StatesJob Title: · Customer Care Specialist · Department: · Customer Service · Reports to: · Demand Planning Supervisor · Classification: · JOB SUMMARY: · This position supports the Empire warehouse team with allocation entries of shipping orders into SAP. Maintaining inventory allocat ...
-
customer care specialist
1 week ago
EMPIRE PACKING COMPANY Mason, United States· Position at Empire Packing · Job Title: · Customer Care Specialist · Department: · Customer Service · Reports to: · Demand Planning Supervisor · Classification: · JOB SUMMARY: · This position supports the Empire warehouse team with allocation entries of shipping order ...
-
Spectrum Innovations Kenton, United StatesASKLEPIOS As one of the largest private hospital operators in Germany, we see ourselves as companions to our patients - and as partners to our employees. We bring together what belongs together: closeness and progress, warmth and high standards, teamwork and appreciation, people ...
-
BlueWave Solutions Springboro, United StatesKatholische Pflegehilfe mGmbH · Under the umbrella of Katholische Pflegehilfe, we combine an outpatient care service with more than 20 social stations for home care, the St. Martin Senior Center for short-term, long-term, and respite care, a dementia living community, a company f ...
-
BlueNova Industries Cherry Grove, United StatesIn the heart of it all. Working together with renowned experts. We are the largest municipal hospital operator in Germany with over 100 specialized clinics, nursing facilities, and institutes. Help shape the future of healthcare in our vibrant capital city. · Join us as · Special ...
-
Independent Medical Evaluators
2 weeks ago
MRG Exams Kings Mills, United States Full timeJob Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, Psychologists, Psychiatrists. · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and ...
-
Independent Medical Evaluators
3 weeks ago
MRG Exams Kings Mills, United States Full timeJob Title: Independent Medical Evaluators - Occupational Medicine, Physical Medicine & Rehab, Orthopedists, · Location: Ohio (Southern Ohio Preferred) · Company Overview: · MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment R ...
-
Service specialists for dialogue marketing
4 days ago
Horizon Group Kings Mills, OH, United States Freelance**Who is this apprenticeship perfect for?**: · Are you friendly and confident in your demeanor and communication skills? Do you enjoy interacting with others and communicating? Then you have great qualifications for the role of Service Specialist for Dialogue Marketing. · As you ...
-
Specialist in Orthopedics and Trauma Surgery
3 weeks ago
Spectrum Innovations Wetherington, United StatesAre you looking for a new professional development opportunity? Then we have an exciting challenge for you On behalf of our client, a hospital specializing in accident and emergency care with approximately [number] beds in the greater Magdeburg area, we are currently seeking a sp ...
-
NovaWorks Landen, United StatesThere are many reasons to collaborate with European Medical Consulting Adam. In the following section, you will see how you can benefit from our free services and save valuable time: * You can delegate contract negotiations to us at your request * You will be discreetly presented ...
-
Personal Care Specialist
2 weeks ago
Ohio's Hospice, Inc. FRANKLIN, OH, United StatesWhat You Should Know About the Personal Care Specialist Role:This is a PT position our our Butler Warren IPU, but will also float to our Hospice of Dayton IPU when needed · These are 2-12hr shifts per week, 7pm-7:30am, with every other weekend and holiday rotation · We provide su ...
-
Employee in the warehouse
3 days ago
Phoenix Industries Loveland Park, United StatesRömer Wein & Sekt GmbH at Loveland Park · The RÖMERFAMILY has been producing and packaging promotional items for over 35 years and is now one of the largest suppliers of culinary promotional gifts in the German-speaking region. The RÖMERFAMILY group consists of three companies th ...
-
Personal Care Specialist
1 week ago
Ohio's Hospice Franklin, United StatesWhat You Should Know About the Personal Care Specialist Role: The PCS position is a DRIVING position to patient homes located in the Butler/Warren County areas · This is a Full-Time position, 4-10hr shifts Tues-Fri 8am-6pm · We provide superior care and superior services to pat ...
-
Personal Care Specialist
3 weeks ago
The Hospice of Dayton Dayton, United StatesWhat You Should Know About the Personal Care Specialist Role: · * This is an opening in the Inpatient unit at Ohio's Hospice of Dayton · * This is a PRN Night Shift position 7p-7:30a · * We provide superior care and superior services to patients at their end of life journey. Only ...
-
Personal Care Specialist
2 weeks ago
Ohio's Hospice, Inc. Dayton, OH, United StatesWhat You Should Know About the Personal Care Specialist Role:This is an opening in the Inpatient unit at Ohio's Hospice of Dayton · This is a FT Night Shift position 7p-7:30a, 36hrs per week with every other weekend/holiday rotation · We provide superior care and superior service ...
Outreach Care Specialist - Mason, United States - Elevance Health
Description
Outreach Care Specialist
Location : This is a hybrid role. Associates will be working from home and out in the community (up to 30% of the time will be in the field). We are seeking candidates in Ohio and in the following areas : Columbus, Cleveland and Cincinnati.
Work Schedule : Monday - Friday 8:00am - 5:00pm EST
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.
How you will make an impact:
Who We Are
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.
How We Work
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, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local 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 assistance.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
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.
How We Work
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, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local 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 assistance.
