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Outreach Care Specialist at Elevance Health - ApplyBlast

Outreach Care Specialist

Elevance Health

1 day ago

3.4 on Glassdoor

Remote

Full Time

Medior

0 applicants

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About this role

The Outreach Care Specialist ensures appropriate member treatment plans are followed for less complex cases and proactively identifies ways to improve member health and meet quality goals. This virtual role involves managing clinical referrals, coordinating follow-up care, assessing treatment compliance, and recommending process improvements to support HEDIS/Star program objectives. The position requires strong communication skills and experience with clinical systems to effectively coach members and collaborate with care teams.

Responsibilities

Initiate and manage clinical referrals and orders for specialists, labs, and imaging centers
Coordinate follow-up care plans and enroll members in programs to improve health outcomes
Assess member compliance with medical treatment plans and identify barriers to plan compliance