Outreach Care Specialist
Core
Ensures member treatment plans are followed for less complex cases and proactively identifies ways to improve member health and meet quality goals.
Role type
Care coordination specialist (non-licensed)
Builds
Member health outcomes and compliance with medical treatment plans
Domain
Healthcare / Health Insurance
Deliverable
client delivery
Required skills
Scheduling, telephone communication, on-site visit coordination, barrier identification, process improvement recommendation, treatment plan modification, referral coordination, health risk coaching, reporting, agency relationship management
Preferred skills
Certified nurse assistant, certified medical assistant, BS/BA in related field, bilingual
Technologies
None stated
Responsibilities
Coordinate follow-up care plan needs by scheduling appointments or enrolling members in programs; Assess member compliance with medical treatment plans via telephone or on-site visits; Identify barriers to plan compliance and coordinate resolutions; Identify opportunities impacting quality goals and recommend process improvements; Recommend treatment plan modifications and determine need for additional services; Coordinate identification of and referral to local, state or federally funded programs
Seniority
Entry-level, non-management