Outreach Specialist at Revelations Counseling & Consulting LLC

Fredericksburg, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

12 Jun, 26

Salary

0.0

Posted On

14 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Outreach, Engagement, Enrollment, Case Management, Care Coordination, Disease Management, Motivational Interviewing, Government Reporting, HIPAA Compliance, Medical Terminology, Problem Solving, Organizational Skills, Multi-Tasking, Communication, Empathy, Computer Literacy

Industry

Mental Health Care

Description

Job Summary As an Outreach Specialist, you play a pivotal role in the engagement and enrollment of TRICARE beneficiaries in Case Management, Care Coordination and Disease Management programs. You will make outbound and receive inbound phone calls to influence beneficiaries to actively manage their healthcare, obtain needed resources, and understand all the TRICARE benefits afforded to them. You set the stage for increased engagement and adherence to our program by utilizing motivational interviewing and other techniques to identify motivations, goals and clinical needs of TRICARE beneficiaries. Government Reporting Direct Education & Experience Required * High School Diploma or G.E.D. * U.S. Citizenship * Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation. * Minimum 2 years’ experience in a health care customer service environment * Experience with Microsoft Office suite * Experience within the healthcare industry and operations along with medical terminology Preferred * Medical Assistant (MA) or Certified Nursing Assistant (CNA) * Prior experience in a Managed Care Organization (MCO) * Prior experience with TRICARE or VA health plans Key Responsibilities * Review each beneficiary’s profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for beneficiaries and identify opportunities for beneficiaries to become aware of additional benefits. * Identify and overcome barriers in order for beneficiaries to complete needed health screenings and obtain needed services. * Act as a subject matter expert on clinical programs, tools and benefits in order to ensure beneficiaries understand what valuable services and programs are available to them. * Prep and schedule beneficiaries for their initial appointment with a clinician or health coach. * Documentation of preferred beneficiary outreach and communication preferences. * Comply with HIPAA privacy laws and all other federal, state, and local regulations * Protect and maintain the confidentiality of company and customer information, policies, and processes * Performs other duties as assigned Competencies Technical Skills Working knowledge of the healthcare system and medical terminology. Knowledge of TRICARE programs and benefits, managed care programs or other government healthcare programs. Problem Solving / Analysis Ability to solve problems through systematic analysis of processes with sound judgment; Has a realistic understanding of relevant issues. Organizational Skills Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented. Multi-Tasking / Time Management Prioritize and manage actions to meet changing deadlines and requirements within a high volume, sometimes stressful environment. Independent Thinking / Self-Initiative Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Communication / People Skills Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate. Team-Building / Team Player Influence the actions and opinions of others in a positive direction and build group commitment. Respectful behavior in a diverse workforce Empathy / Customer Service Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position. Respectful behavior when working with a diverse population Computer Literacy Ability to function in a multi-system Microsoft environment using Word, Outlook, TEAMs, TriWest Intranet, the Internet, and department software applications. Commitment to Task Ability to conform to established policies and procedures; exhibit high motivation. Working Conditions Working Conditions * Extensive computer work with prolonged sitting * Virtual team members and workflows * Ability to do repetitive work and maintain production standards * Department of Defense security clearance required ** This job description indicates the general nature and levels of work expected of the incumbents. It is not designed to cover or contain a comprehensive listing of activities, duties, responsibilities or competencies required of an incumbent. Incumbents may be asked to perform other duties as required. ** 3:30-12:00 EST

Responsibilities

The Outreach Specialist engages and enrolls TRICARE beneficiaries into health management programs via phone calls, utilizing motivational interviewing to encourage healthcare management and understanding of benefits. Key duties include reviewing beneficiary profiles, identifying opportunities, overcoming barriers to services, acting as a subject matter expert, and scheduling initial appointments.