Remote Medical Outreach & Case Coordination Specialist

USAble Mutual Insurance Company; United States; Remote; USD 22,000 - 29,000; Full time

Job summary

USAble Mutual Insurance Company seeks a Medical Management & Outreach Support Specialist to be the first telephonic contact for program members engaged by the CM team, providing non-clinical support and acting as a liaison throughout service offerings, including admission to post-discharge care and outpatient referrals.

The role emphasizes coordinating with RN Case Managers, social workers, and community organizations to develop action plans, collect clinical information, and promote high

Qualifications

• High school diploma or equivalent.
• Minimum 1 year office/customer support experience via telephone, e-mail, or in-person.
• Experience in a role involving managed care or Medicaid/Medicare preferred.

Responsibilities

• Assists with case referral processes.
• Supports complex cases member engagement and scheduling.
• Attends meetings and participates actively.
• Collaborates with external community organizations to coordinate care under RN guidance.
• Gathers clinical information and determines appropriate referrals.
• Maintains and updates tracking databases.
• Promotes member engagement and enrollment in case management.
• Provides information about network providers or program details on request.

Skills

Interpersonal communication

Oral communication

Written communication

Problem solving

Facilitation

Attention to detail

Medical terminology

Education

High school diploma or equivalent

Tools

Microsoft Office

Job description

USAble Mutual Insurance Company seeks a Medical Management & Outreach Support Specialist to be the first telephonic contact for program members engaged by the CM team, providing non-clinical support and acting as a liaison throughout service offerings, including admission to post-discharge care and outpatient referrals.

The role emphasizes coordinating with RN Case Managers, social workers, and community organizations to develop action plans, collect clinical information, and promote high