Managed Care Outreach Specialist

Preferred Family Healthcare, Inc.; Hannibal (MO); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

29 Days PTO

HRSA Loan Repayment Eligibility

Medical, Dental, Vision Insurance

401(k) Retirement Plan (Employer Match

Life Insurance

Emergency Medical Leave

Flexible Spending Accounts

Employee Assistance Program

Wellness Program

Employee Discount Program

Job summary

Centerstone in Hannibal, MO seeks a compassionate Managed Care Outreach Specialist to connect individuals with healthcare services, help navigate insurance and managed care programs, and overcome barriers to care. You will engage patients across phone, virtual, in-person settings and collaborate with providers and community partners.

This role emphasizes building trust, educating about benefits, and supporting enrollment and care plans to improve health outcomes in the community.

Qualifications

• High School Diploma or equivalent required.
• Two years in healthcare outreach, case management, or related field preferred.
• Knowledge of Medicaid/Medicare enrollment helpful.

Responsibilities

• Conduct outreach to individuals eligible for managed care and healthcare programs.
• Build trusting relationships with patients through phone, virtual, and in-person efforts.
• Educate on available services, preventative programs, and wellness resources.
• Assist with enrollment, eligibility determinations, and plan selection.
• Coordinate with providers, plans, and community partners to remove barriers to care.

Skills

Relationship-building

Communication skills

Customer service

Healthcare navigation

Multicultural engagement

Education

High School Diploma or equivalent

Associate's or Bachelor's in Public Health, Healthcare Administration, Social Work, or related field

Tools

Microsoft Office

Job description

**Job Description:**# Managed Care Outreach Specialist**Location:** Hannibal, MO **Company:** Centerstone **Schedule:** Full-Time | Monday-Friday## ## ## ## Help Connect People to the Care They NeedCenterstone 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!# # # # Why Join Centerstone?* 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# # # # What You'll Do## Member Outreach & Engagement* 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.## Care Coordination & Patient Support* 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.## Insurance Navigation & Enrollment Assistance* 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.## Community Outreach & Resource Navigation* 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.## Documentation & Collaboration* 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.# # # # # What You'll Bring## Knowledge, Skills & Abilities* 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.# # # Education & Experience### Required* High School Diploma or equivalent.### Preferred* 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.### ### ### Additional Experience Beneficial for Success* 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# # # # Employment Requirements* Valid driver's license, reliable transportation, and current auto insurance.* Tuberculosis (TB) screening required for all direct care staff.### ### ### ### Why This Role MattersAs 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.**Position Perks & Benefits:****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 behavioral 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.