Pride Health ยท 1 day ago
Outreach Specialist
Pride Health is focused on improving member health outcomes, and they are seeking an Outreach Specialist to support Quality Management and Care Coordination initiatives. This role involves engaging members through outreach efforts, administering Health Risk Assessments, and connecting them to appropriate services to enhance their overall satisfaction and care quality.
Responsibilities
Conduct outbound and inbound outreach to members to administer Health Risk Assessments (HRA) and gather relevant health information
Identify member needs and coordinate appropriate referrals to clinical, behavioral health, and social support services
Support care coordination activities, including scheduling appointments, transportation, and follow-up services
Document all member interactions accurately and in a timely manner in electronic systems in compliance with regulatory and quality standards
Enter, track, and maintain medical and outreach data; assist with reporting and quality metrics
Provide members with basic benefit education and navigation support
Collaborate with Care Management, Quality Management, and internal departments to ensure continuity of care
Escalate clinical concerns or high-risk cases to appropriate clinical staff or leadership
Participate in team meetings, trainings, and quality improvement initiatives
Represent the organization professionally during outreach events and member interactions
Perform additional duties as assigned
Qualification
Required
High school diploma or GED required
Minimum of one (1) year of experience in healthcare, managed care, care coordination, or member outreach
Experience working directly with patients or health plan members
Strong customer service and communication skills
Ability to accurately document and manage data across multiple systems
Proficiency with Microsoft Word, Excel, and Outlook
Ability to manage multiple priorities in a fast-paced environment
Preferred
Managed care experience (Medicaid, Medicare, or health plan environment)
Experience administering Health Risk Assessments (HRA)
Background as a Medical Assistant, LVN/LPN, or similar clinical support role
Bachelor's degree in healthcare, public health, social work, or related field
Bilingual proficiency (Spanish, Haitian Creole, Russian, or other languages)
Benefits
Comprehensive healthcare coverage (medical, dental, and vision plans)
Supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity)
401(k)-retirement savings
Life & disability insurance
An employee assistance program
Legal support
Auto, home insurance
Pet insurance
Employee discounts with preferred vendors
Company
Pride Health
Pride Health is a staffing and recruiting company that provides account management and staffing solutions.
Funding
Current Stage
Growth StageRecent News
2025-11-06
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