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Outreach Care Specialist II - Tennessee - PS1097 in Memphis, TN at Anthem, Inc.

Date Posted: 3/13/2018

Job Snapshot

  • Employee Type:
  • Location:
    Memphis, TN
  • Job Type:
    Health Care
  • Experience:
    At least 3 year(s)
  • Date Posted:

Job Description

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve atone of America's leading health benefits companies and a Fortune Top 50 Company.

Outreach Care Specialist 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. 

Job Requirements

Requires a high school diploma; 
  • 3 years of related experience or any combination of education and experience, which would provide an equivalent background. 
  • Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred. 
  • Bilingual candidates preferred.

EOE.M/F/Disability/Veteran 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 and apply, please visit us at EOE. M/F/Disability/Veteran.


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