Outreach Care Specialist II (US)
Core
Coordinates follow-up care plans, assesses member compliance with medical treatment plans, and identifies barriers to ensure appropriate member treatment on moderately complex cases.
Role type
Care coordination specialist (non-licensed)
Builds
Member health outcomes and quality goal improvements
Domain
Healthcare / Care Management
Deliverable
client delivery
Required skills
Scheduling appointments, assessing compliance, identifying barriers to care, coordinating referrals, coaching members on health risks, preparing compliance reports, building agency relationships, precepting new associates
Preferred skills
Certified nurse assistant (CNA) or certified medical assistant (CMA), BS/BA in related field, bilingualism
Technologies
Telephone, on-site visit tools
Responsibilities
Schedule appointments and enroll members in programs; Assess member compliance with medical treatment plans; Identify barriers to plan compliance and coordinate resolutions; Recommend treatment plan modifications; Coordinate referrals to local, state, or federally funded programs; Coach members on health risk reduction; Prepare reports documenting case and compliance updates; Establish relationships with contracted agencies; Serve as preceptor for new associates
Seniority
Individual Contributor, mid-level (3+ years experience)