Outreach Care Specialist Lead at Elevance Health

Washington, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

H.S. diploma or equivalent and 5 years of related experience; or any combination of education and experience which would provide an equivalent background
Reside in Klickitat or Skamania counties, Washington (minimal travel within these counties is needed)
For URAC accredited areas: strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills

Responsibilities

Ensures that appropriate member treatment plans are followed on the most complex cases
Proactively identifies ways to improve the health of members and meet quality goals
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
Participates in cross-functional teams on projects, initiatives, and process improvement activities

Skills

Key technologies and capabilities for this role

Care CoordinationTreatment PlanningMember Compliance AssessmentBarrier ResolutionProcess ImprovementCase ManagementHealth CoachingProgram ReferralReport PreparationStakeholder RelationshipsCross-Functional Collaboration

Questions & Answers

Common questions about this position

What is the salary range for the Outreach Care Specialist Lead position?

For candidates working in Washington State, the salary range for this position is $26.73 to $40.10 per hour.

Is this a remote position, and what are the location requirements?

The role is virtual full-time except for required in-person training sessions, but candidates must reside in Klickitat or Skamania counties, Washington, with minimal travel within these counties. Candidates not within a reasonable commuting distance from the posting locations will not be considered unless an accommodation is granted.

What are the minimum requirements for this role?

The minimum requirements are a H.S. diploma or equivalent and 5 years of related experience, or any combination of education and experience which would provide an equivalent background.

What benefits does Elevance Health offer?

In addition to salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k co.

What preferred skills or experiences make a strong candidate for this role?

Preferred qualifications include a BS/BA degree in Social Services, behavioral health experience, experience working with children and families, bilingual abilities, and strong oral, written, interpersonal communication, problem-solving, facilitation, and analytical skills.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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