Outreach Care Specialist
Core
Ensures member treatment plans are followed on less complex cases and proactively identifies ways to improve member health and meet quality goals.
Role type
Outreach Care Specialist (Care Coordination)
Builds
Member health outcomes and compliance with medical treatment plans
Domain
Healthcare / Care Management
Required skills
Clinical referral management, Care coordination, Member compliance assessment, Treatment plan modification, Program enrollment, Report preparation
Preferred skills
Certified Nurse Assistant (CNA) or Certified Medical Assistant (CMA), BS/BA in related field, Referral management experience, Bilingual capability, Clinical systems experience
Technologies
Electronic Medical Record (EMR), Care management systems, Population health management systems, Microsoft Office
Responsibilities
Initiates and manages clinical referrals and orders; Coordinates follow-up care plan needs; Assesses member compliance with medical treatment plans; Identifies barriers to plan compliance and coordinates resolutions; Recommends treatment plan modifications; Prepares reports to document case and compliance updates; Establishes and maintains relationships with agencies.
Seniority
Entry-level, Non-Management