Managed Care Outreach Specialist
Preferred-Family-Healthcare,-Inc.
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Benefits offered by this job
Job summary
Centerstone in Hannibal, MO, is seeking a compassionate Managed Care Outreach Specialist to connect individuals with healthcare services and enrollment options. The role emphasizes building relationships across patients, providers, and community resources.
Responsibilities include outreach, education on programs, and navigation of care and enrollment processes. This full-time position runs Monday–Friday and involves collaboration with a multidisciplinary team to improve health outcomes.
Qualifications
- Understanding of managed care principles and health program enrollment.
- Experience with Medicaid/Medicare enrollment processes preferred.
- Strong communication and patient engagement skills.
Responsibilities
- Outreach to individuals eligible for managed care and Medicaid/Medicare.
- Build trust with patients via phone, virtual, and in-person outreach.
- Educate on available healthcare services, preventive care and wellness resources.
- Assist with eligibility, enrollment activities, and plan selection.
- Coordinate with providers, managed care orgs, and community partners.
Skills
Education
Job description
Job Description: Managed Care Outreach Specialist Location: Hannibal, MO Company: Centerstone Schedule: Full-Time | Monday-Friday
Centerstone is seeking a compassionate, relationship-driven Managed Care Outreach Specialist to support individuals in accessing healthcare services, navigating insurance and managed care programs, and overcoming barriers that impact their health and well-being. In this role, you will serve as a vital link between patients, healthcare providers, managed care organizations, and community resources. You will proactively engage individuals who may benefit from healthcare services, connect them with appropriate programs and support, and help ensure they receive the care and resources needed to achieve better health outcomes. If you're passionate about helping others, improving access to care, and making a meaningful impact in your community, we'd love to hear from you!
- 29 Days of Paid Time Off (PTO)
- HRSA Loan Repayment Eligibility (requirements apply)
- Comprehensive Medical, Dental, and Vision Insurance
- Competitive 403(b) Retirement Plan with up to 5% Employer Match
- Company-Paid Basic Life Insurance
- Emergency Medical Leave Program
- Flexible Spending Accounts (Healthcare & Dependent Care)
- Employee Assistance Program (EAP)
- Employee Wellness Program
- Employee Discount Program
- Conduct outreach to individuals enrolled in or eligible for managed care, Medicaid, Medicare, and other healthcare programs.
- Build trusting relationships with patients through phone, virtual, community, and in-person outreach efforts.
- Educate individuals on available healthcare services, preventative care programs, and wellness resources.
- Promote healthcare engagement by encouraging participation in appointments, screenings, and care plans.
- Assist with outreach campaigns designed to improve health outcomes and care compliance.
- Serve as a liaison between patients, providers, managed care organizations, and community partners.
- Assist individuals in navigating healthcare, behavioral health, and social service systems.
- Identify barriers to care, including transportation, housing, food insecurity, and access issues, and help connect patients with appropriate resources.
- Support care management initiatives, including chronic disease management, preventative care, and patient education.
- Conduct follow-up outreach to ensure individuals receive needed services and support.
- Educate patients about healthcare coverage options and available managed care programs.
- Assist individuals with eligibility determination, enrollment activities, and healthcare plan selection.
- Help patients understand benefits, coverage options, and available support services.
- Partner with managed care organizations to support continuity of care and member engagement initiatives.
- Develop and maintain relationships with community organizations, service providers, and referral partners.
- Connect individuals to community-based resources that support overall health and wellness.
- Participate in health fairs, outreach events, and community engagement activities.
- Advocate for patient needs and promote culturally responsive, person-centered care.
- Maintain accurate documentation and data entry in accordance with organizational and regulatory requirements.
- Track outreach efforts, enrollment activities, referrals, and patient outcomes.
- Collaborate with multidisciplinary teams to improve patient engagement and health outcomes.
- Participate in quality improvement initiatives, department projects, and other duties as assigned.
- Understanding of managed care principles, healthcare access, social determinants of health, and patient engagement strategies.
- Knowledge of Medicaid, Medicare, Qualified Health Plans (QHPs), and healthcare enrollment processes preferred.
- Strong relationship-building, customer service, and communication skills.
- Ability to effectively engage individuals from diverse backgrounds and communities.
- Excellent organizational skills with strong attention to detail.
- Ability to manage multiple priorities in a fast-paced environment.
- Proficiency in Microsoft Office applications including Outlook, Excel, Teams, and Word.
- Ability to work independently and collaboratively within a multidisciplinary team.
- High School Diploma or equivalent.
- Associate's or Bachelor's degree in Public Health, Healthcare Administration, Social Work, Human Services, Business, or a related field.
- Two (2) years of experience in healthcare outreach, managed care, member services, patient navigation, community health, case management, customer service, or a related field.
- Associate's or Bachelor's degree in Public Health, Healthcare Administration, Social Work, Human Services, Business, or a related field.
- Managed care or health plan operations
- Medicaid or Medicare enrollment
- Patient advocacy and navigation
- Healthcare customer service
- Community outreach and engagement
- Public speaking and health education
- Data entry and documentation
- Behavioral health or healthcare settings
- Valid driver's license, reliable transportation, and current auto insurance.
- Tuberculosis (TB) screening required for all direct care staff.
As a Managed Care Outreach Specialist, you will play a key role in improving access to care, reducing barriers to services, increasing patient engagement, and helping individuals achieve better health outcomes. Your work will directly support Centerstone's mission of delivering care that changes people's lives and strengthens communities.
- Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
- Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
- Top-notch training: initial, ongoing, comprehensive, and supportive
- Career mobility: advancement opportunities/promoting from within
- Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness
Brightli is on a Mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. As a behavioural and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace. We are an Equal Employment Opportunity Employer. Preferred Family Health Care is a Smoke and Tobacco Free Workplace.
Brightli is on a mission: A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance use care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients. We are doing this by forming a new behavioral health organization under new model. Under one parent company, multiple organizations are able to collaborate, share resources and system supports, increase recruiting and retention efforts, increase access to specialized care, and meet the growing demand for behavioral and addiction recovery care. Brightli’s top-line subsidiaries include Burrell Behavioral Health (Burrell), Preferred Family Healthcare (PFH), Southeast Missouri Behavioral Health (SEMO), Firefly, Adult and Child Health, and Places for People. While these organizations operate independently and are governed by separate board of directors, their operations and services benefit from this model. Alone, organizations may be able to navigate the current tumultuous healthcare environment, but we believe that together we can do so much more than survive. Our communities need us now more than ever, and by working together we are ready to answer their call for years to come.
200 locations 4 states 19 subsidiaries and/or affiliates 5k+ employees
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