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*Amerigroup*, a proud member of the Anthem, Inc. family of companies, is focused on serving Medicaid, Medicare and uninsured individuals and families. We improve access to quality health care for the financially vulnerable, seniors and people with disabilities.
Here, you can do work that matters and offers opportunities for personal and professional growth. Together, our associates are transforming health care with trusted and caring solutions.
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.
*Office Locations for this position:*
823 Congress Avenue, Suite 400 Austin, TX 78701
3800 Buffalo Speedway, Suite 400 Houston TX 77098
7430 Remcon Circle, Building C Suite 120 El Paso, TX 79912
3223 S. Loop 289 Suite 100 Lubbock, TX 79423
12500 San Pedro Avenue, Suite 400 San Antonio, TX 78126
This position will allow you to work from home, but you will be required to do on site training for 4 to 12 weeks, and report into the office whenever needed.
Hours for the position are Monday - Friday 8 AM to 5 PM EST.
*/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2014 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./*
*Requires*
* high school diploma;
* 1 year of related experience;
* or any combination of education and experience, which would provide an equivalent background.
*Preferred*
* Certified nurse assistant or
* Certified medical assistant and/or
* BS/BA degree in a related field preferred.
* Behavioral Health experience
* Bilingual candidates
EOE.M/F/Disability/Veteran
**Job** *Medical*
**Title:** *Outreach Care Specialist - Behavioral Health - Texas (103549 KT)*
**Location:** *TX-Houston*
**Other Locations:** *TX-Austin, TX-San Antonio, TX-Lubbock, TX-El Paso*
**Requisition ID:** *103549*