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Career Opportunities: Care and Outreach Specialist (24483) Requisition ID 24483 - Posted 08/02/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (9) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Care and Outreach Specialist Department Care Management Exemption Status Non-Exempt Requisition # 24483 Direct Reports N/A Manager Title Care Management Pay & Benefits Estimated hiring range $51,800 - $63,320/year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This role is fully remote but must reside in one of the listed 9 states. Job Summary The Care and Outreach Specialist work alongside a comprehensive care team that includes nurses, social workers, health care coordinators, and behavioral health specialists. This position requires critical thinking and independent judgment. The purpose of this role is to provide health system navigation, short term care coordination, and connection to community resources for the organization's most vulnerable, at-risk members. The Care and Outreach Specialist is responsible for member outreach and follow-up related to various organizational initiatives. This role will help identify and support unmet member needs identified through proactive outreach to targeted populations, health risk screenings, change in health status, and will assist in addressing gaps in care. Essential Responsibilities Outreach and Healthcare System Navigation Receive completed health risk assessment and/or screening information and review all available and relevant member information to identify unmet physical, behavioral, social, cognitive, or medical needs. Proactive member outreach to identify and assess for care coordination needs. Provide short term care planning to manage identified needs. Determine and address navigation, care coordination and/or resource needs while balancing cultural factors, social determinants, and member autonomy. Coordinate referrals as applicable. Address members' navigation needs and identify potential resources. Assume direct healthcare navigation for members and provide warm handoff of members with complex medical or behavioral health needs to appropriate care coordination staff. As able to identify suspected abuse and neglect issues and appropriately report to mandated authorities. Collaborate and facilitate services that meets the member's personal needs, values and preferences with physical health, dental health, behavioral health treatment providers (i.e., crisis services, Department of Developmental Disability, APD, Department of Human Services (DHS), etc.). Coach members in navigating the health care delivery system, gaining access to appropriate community resources, and determining ways to improve self-management and satisfaction with their quality of life. Input information into the centralized care coordination platform and document all related activities. Provide cross-training on specific job responsibilities. Compliance Maintain compliance with all contractual and regulatory requirements. Maintain timely and accurate documentation about each member per program policies and procedures. Maintain working knowledge of COA and OHP benefits including physical health and behavioral health. Maintain compliance with the Model of Care requirements if applicable. Review and/or audit health risk assessment and/or screening information to inform or evaluate departme