Additional Information
Anticipated End Date:
2026-06-19
Position Title:
Outreach Care Specialist (US)-13
Job Description:
Outreach Care Specialist - Pensacola, FL
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work hours: Monday - Friday, 8am - 5pm EST, however at least one day a week will be 10am - 7pm . There may be potential for weekend work as business needs dictate.
Simply Healthcare Plans, Inc. is a proud member of the Elevance Health family of companies. We are a health maintenance organization with health plans for people enrolled in Medicaid and/or Medicare programs. We're working to help make health care simple, so members can focus on what matters most.
The Outreach Care Specialist will be responsible for visiting and engaging in-person with our members in Pensacola, Florida up to 75%+ of the time.
The Outreach Care Specialist - Pensacola, FL is 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.
How you will make an impact:
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.
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:
Certified nurse assistant or certified medical assistant and/or BS/BA degree in a related field preferred.
Experience with complex psychiatric issues and medical disorders is highly preferred.
Experience in motivational interviewing and health coaching is preferred.
Knowledge of Social Determinants of Health (SDOH), barriers and resources.
Comfortable working with SMI members in their homes and/or in the community.
Bilingual Spanish communication skills preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Job Level:
Non-Management Non-Exempt
Workshift:
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.
Elevance Health (anthem) · Tampa, 5411 Sky Center Dr, FL