Outreach Care Specialist
Core
Coordinates follow-up care plans, assesses member compliance with medical treatment plans, and identifies barriers to care for members in home and community-based settings.
Role type
Non-licensed care coordination specialist
Builds
Member health outcomes and quality goal improvements
Domain
Healthcare / Home and community-based services
Deliverable
client delivery
Required skills
Scheduling, telephone communication, on-site visit coordination, barrier identification, process improvement recommendation, treatment plan modification coordination, program referral, health risk coaching, reporting, agency relationship management
Preferred skills
Certified nurse assistant (CNA), certified medical assistant (CMA), BS/BA in related field, bilingualism, Microsoft Suite proficiency
Responsibilities
Schedule appointments and enroll members in programs; Assess member compliance via phone or on-site visits; Identify barriers to plan compliance and coordinate resolutions; Recommend process improvements to impact quality goals; Recommend treatment plan modifications and determine need for additional services; Coordinate referrals to local, state, or federally funded programs; Coach members on reducing health risks; Prepare reports documenting case and compliance updates; Establish and maintain relationships with contracted agencies