Anticipated End Date:

2026-03-06

Position Title:

Outreach Care Specialist:

Job Description:

Outreach Specialist

Location : We are seeking candidates that reside in the Rocky Hill, CT area. 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.

The Outreach Specialist shall provide individual and family support to ensure members are connected to community services and resources and have the necessary supports. The Outreach Care Specialist is responsible for promoting clear communication amongst a care team and treating clinicians in supporting the individuals and families. Additionally, the Outreach Care Specialist is to coordinate member specific care plans along the continuum. initiatives.

How you will make an impact:

• Telephone and/or face to face support to members and families to offer care coordination, support and information. Members may need help navigating the system, completing applications (i.e. Voluntary Services, SSI, System of Care, DDS), locating non –traditional supports, and learning about self-advocacy skills.

• Participate in a Local Area Team approach to care management to enhance member treatment by identifying resources, access to care, identifying barriers to care and gaps in service.

• Work closely with the Care Management and Peer staff to coordinate services as well as community-based systems of care by leading the facilitation of the Wrap Around Care Coordination model.

• Outreach Care Specialists will make home visits; meet with parents; enter documentation in computer system; search databases for appropriate resources.

• Collaborate with the Department of Developmental Services, Department of Children and Families, Department of Mental Health and Addiction Services, and the Department of Social Services as necessary to support members.

• Build, develop and maintain a positive and collaborative relationship with providers and support organizations by establishing a local presence and by attending meetings.

• Outreach to, and work with family and individual advocacy groups across the state.

• Work with diverse teams that require independent work initiatives.

• Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.

• Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.

• Supports and promotes State Sponsored Programs through participation in community events.

• Represents State Sponsored Programs in community collaborations.

• Supports member access to care through home visits, processing of reports, and distribution of collateral materials.

• Performs new member orientations.

• Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.

• Provides superior, professional, and courteous service to customers.

• Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.

Minimum Requirements:

• Requires HS Diploma or equivalent and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

• Bachelor Degree in Education, Psychology, Social Work, Nursing, Business, Public Health, Health Care Administration or related field.

• Proficiency in the Spanish language desirable.

• Experience working in the educational or community system with ASD populations or lived experience.

• Some combination of the following experiences required.

• Experience with Outlook applications and Teams/ZOOM platforms.

• Good communicational and organizational skills.

• Minimum computer skills a plus.

• Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.

• Relationships with the community being served and desire to help.

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.

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.

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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.