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Outreach Care Specialist

Location:

  • Colorado, Colorado
  • Indiana, Indiana
  • Texas, Texas
  • New Mexico, New Mexico
  • Nevada, Nevada
  • Connecticut, Connecticut
  • New Jersey, New Jersey
  • Florida, Florida
  • Washington, Washington
  • California, California
  • Georgia, Georgia
  • New York, New York

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Description

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.

Primary duties may include, but are not limited to: 

  • Conducts outbound telephonic provider searches for behavioral health providers to determine network status and availability utilizing Anthem’s provider finder and other resources
  • Supports Behavioral Health case management service by responding to inbound calls from members interested in service
  • Responds to telephone and email inquiries from internal teams and providers
  • Prepares member cases for documentation system via data entry, accessing multiple systems, and researching information
  • Identifies opportunities that impact quality goals and recommends process improvements
  • Develops and maintains positive internal/external customer relations and coordinates with various teams within the company to ensure member requests and questions are handled appropriately and in a timely manner.
  • Assists management by identifying areas of improvement and expressing a willingness to take on new projects
  • Previous experience or knowledge of behavioral health and medical preferred
  • Previous insurance experience helpful
  • Requires experience navigating and utilizing multiple computer applications simultaneously
  • Requires experience working in a telephonic environment, call center experience helpful
  • Must possess strong critical thinking skills
  • Excellent communication skills
  • Strong computer and keyboarding skills required
  • Ability to speak with members and other staff in a professional manner 


Minimum 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.
  • Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred. Bilingual candidates preferred.


Applicable to Colorado Applicants Only

Annual Salary Range*: $19.38 - $24.23 USD Hourly (Min – MRP).


Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.


* The hourly or salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. 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 ability@icareerhelp.com for assistance.

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