Behavioral Health Outreach Care Specialist
Anticipated End Date:
2025-04-11Position Title:
Behavioral Health Outreach Care SpecialistJob Description:
Behavioral Health Outreach Care Specialist
A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies, is a managed service delivery organization providing information technology and business operations services for health plans.
Location: This is a virtual position, and the ideal candidate must reside within 50 miles of an Elevance Health PulsePoint location.
Work schedule: Monday - Friday, 9 am - 6 pm MST.
The Behavioral Health Outreach Care Specialist is responsible for conducting behavioral health provider searches for members with complex diagnoses, supporting CMs working with our members, and conducting screening calls to members.
How you will make an Impact:
Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
Assess member compliance with medical treatment plans via telephone or through on-site visits.
Identifies barriers to plan compliance and coordinates resolutions.
Identifies opportunities that impact quality goals and recommends process improvements.
Coordinates identification of and referral to local, state, or federally funded programs.
Coach members on ways to reduce health risks.
Prepares reports to document case and compliance updates.
Establishes and maintains relationships with agencies identified in the appropriate contract.
Conduct outbound telephonic provider searches for behavioral health providers to determine network status and availability utilizing Anthem’s provider finder and other resources.
Supports Behavioral Health case management service by responding to inbound calls from members interested in service.
Responds to telephone and email inquiries from internal teams and providers
Minimum Requirements:
Requires a H.S. diploma or equivalent and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Preferred certification: certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field is preferred.
Bilingual skills are a plus.
Experience or knowledge of behavioral health and medical is preferred
Previous insurance experience is preferred
Experience navigating and utilizing multiple computer applications simultaneously is preferred.
Experience working in a telephonic environment, call center experience is preferred.
Excellent communication skills.
Strong computer and keyboarding skills.
Experience preparing member cases for the documentation system via data entry, accessing multiple systems, and researching information is a plus.
Experience in conducting outbound calls to members to ascertain interest in service is a plus.
Prepares member cases for documentation system via data entry, accessing multiple systems, and researching information.
Previous insurance experience is helpful.
For candidates working in person or remotely in the below location(s), the hourly* range for this specific position is $20.23 to $31.80.
Locations: Colorado and Nevada.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Job Level:
Non-Management Non-ExemptWorkshift:
1st Shift (United States of America)Job Family:
MED > Care Coord & Care Mgmt (Non-Licensed)Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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