Elevance Health - Seven Hills, OH
posted 4 days ago
Full-time - Entry Level
Hybrid - Seven Hills, OH
Insurance Carriers and Related Activities
About the position
The Behavioral Health 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. This is a hybrid role, with associates working from home and out in the community (up to 40% of the time will be in the field). Candidates must reside in Ohio to be considered, specifically in Cleveland (Cuyahoga county) and Columbus (Franklin county). The work schedule is Monday - Friday from 8:00am to 5:00pm EST.
Responsibilities
- 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.
Requirements
- 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.
Nice-to-haves
- Behavioral health experience strongly preferred.
- Experience with mental health and substance use disorders preferred.
- Case management, Community Health Workers, Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
- Bilingual candidates preferred.
- Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
