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Outreach Care Specialist I/II/Sr (Job Family) Eagan, MN  PS2795 in Eagan, MN at Anthem, Inc.

Date Posted: 7/23/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Eagan, MN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    7/23/2018

Job Description

Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
 
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program. 


Outreach Care Specialist I/II/Sr (Job Family) Eagan, MN     PS2795
Work Location: Eagan, Minnesota
This is an office based position - Monday-Friday 8 a.m. - 5 p.m.


Responsible for ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. 


Primary duties may include, but are not limited to: 
• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. 
• Assesses 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. 
• Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider. 
• Coordinates identification of and referral to local, state or federally funded programs. 
• Coaches members on ways to reduce health risks. 
• Prepares reports to document case and compliance updates. 
• Establishes and maintains relationships with agencies identified in appropriate contract. 


Level II:
Responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. 
Primary duties may include, but are not limited to: 
• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. 
• Assesses 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. 
• Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider. 
• Coordinates identification of and referral to local, state or federally funded programs. 
• Coaches members on ways to reduce health risks. 
• Prepares reports to document case and compliance updates. 
• Establishes and maintains relationships with agencies identified in appropriate contract. 
• Serves as preceptor for new associates and participates in or leads projects with cross-functional teams. 


Senior: 
Responsible for ensuring that appropriate member treatment plans are followed on complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. 
Primary duties may include, but are not limited to: 
• Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. 
• Assesses 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. 
• Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider. 
• Coordinates identification of and referral to local, state or federally funded programs. 
• Coaches members on ways to reduce health risks. 
• Prepares reports to document case and compliance updates. 
• Establishes and maintains relationships with agencies identified in appropriate contract. 
• Provides education to members regarding all services available. 
• Participates in cross-functional teams on projects, initiatives, and process improvement activities. 








Level I:
• Requires a high school diploma; 1 year of related experience; or any combination of education and experience, which would provide an equivalent background. 


Level II:
• Requires a high school diploma; 3 years of related experience; or any combination of education and experience, which would provide an equivalent background. 


Senior:
• Requires a high school diploma; 4 years of related experience; or any combination of education and experience, which would provide an equivalent background. 


Preferred:
• Experience working in Mental Health or Physical Health Field
• Excellent communication skills (both written and verbal).
• Proficient MS Word, Excel, Outlook

• Certified nurse assistant or certified medical assistant 
• BS/BA degree in a related field  
• Bilingual candidates 



• Requires local travel.


Note: This position may be filled at either the Level I, II or Senior. The manager will determine level based upon the selected applicant’s skillset relative to the qualifications listed for this position.


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.