Remote Care Coordination & Member Outreach Specialist

Arkansas Blue Cross Blue Shield; United States; Remote; USD 22,000 - 29,000; Full time

Job summary

Arkansas Blue Cross Blue Shield is seeking a Medical Management & Outreach Support Specialist to serve as the initial telephonic contact for program members. The role provides non-clinical support across CM teams, guiding members from admission to post-discharge care and outpatient referrals.

The position requires a high school diploma and at least one year in office/customer support, with preference for experience in managed care or Medicaid/Medicare contexts.

Qualifications

• Education: High school diploma or equivalent.
• Experience: Minimum one year in office or customer support, preferably in managed care or Medicaid/Medicare contexts.

Responsibilities

• Assists with case referral process.
• Assists with complex cases member engagement and scheduling.
• Attends and actively participates in meetings as required.
• Collaborates with external community-based organizations to coordinate care under RN supervision.
• Develops action plans with care managers.
• Facilitates communication among patients, families, colleagues, and community organizations.
• Gathers clinical information to determine appropriate referrals.
• Maintains and updates tracking databases.
• Performs other duties as assigned.
• Prepares reports and documents with clear notes on actions.
• Promotes engagement and enrollment for case management to support health goals.

Skills

Interpersonal communication

Oral and written communication

Problem-solving

Facilitation

Attention to detail

Microsoft Office

Medical terminology

Education

High school diploma or equivalent

Job description

Arkansas Blue Cross Blue Shield is seeking a Medical Management & Outreach Support Specialist to serve as the initial telephonic contact for program members. The role provides non-clinical support across CM teams, guiding members from admission to post-discharge care and outpatient referrals.

The position requires a high school diploma and at least one year in office/customer support, with preference for experience in managed care or Medicaid/Medicare contexts.