Outreach Care Specialist (Remote)

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Requirements:

• High School/GED required; preferred Bachelor's degree.
• 3 years in clinical care coordination of individuals with complex health conditions, including behavioral health.
• Preferred experience in a medical related field such as Medical Assistant.
• Ability to work in a virtual environment and handle multiple tasks.
• Basic knowledge of the health care delivery system and health care costs drivers.
• Strong communication skills, proficient in MS Office products.
• Self-directed, able to work with moderate autonomy.

Responsibilities:

• Assist members, at home or in the community, to assess and coordinate overall member care, including obtaining medications and medical supplies.
• Conduct assessments and screenings to identify the health and wellness needs of members, focusing on self-management skills and positive behavior changes.
• Address member identified needs for assistance and connect them with various community resources.
• Provide appointment assistance and linkage to services, facilitating access to medically necessary services.
• Incorporate lifestyle improvement opportunities into member interactions and educate them about plan benefits.
• Identify urgent discharge planning needs and crises related to substance use or violence, collaborating with treating providers as necessary.
• Ensure all activities are documented and comply with business, regulatory, and accreditation standards.