Essential Duties and   Responsibilities:

Position Summary

The Outreach Care Coordinator is responsible for engaging   and enrolling eligible members into the Health Home Care Management Program   (CCMP & HHC). This role ensures timely contact with referred individuals,   conducts outreach activities to explain program benefits, and facilitates   enrollment by gathering required documentation. The Outreach Care Coordinator   works closely with the care management team to ensure smooth transition of   members into active care management services.

Essential Duties & Responsibilities

• Conduct outreach to members referred to the Health Home   program through phone calls, home visits, community visits, and written   communication.

• Provide education on Health Home services, including   care coordination, connection to community resources, and improved health   outcomes.

• Confirm member eligibility for CCMP and/or HHC services   using established guidelines.

• Obtain consent and complete necessary enrollment forms   accurately and timely.

• Enter outreach attempts, contacts, and enrollment   status into the electronic health record system.

• Coordinate initial member intake of appointments with   assigned Care Managers.

• Identify and address barriers to engagement, including   transportation, language, and social determinants of health.

• Maintain productivity standards and meet monthly   enrollment targets.

• Collaborate with community providers, hospitals, and   referral sources to facilitate smooth transitions into the program.

• Participate in staff meetings, training, and case   conferences as required.

• Maintain confidentiality and comply with HIPAA and   organizational policies.

Education and/or Work Experience Requirement:

Education & Experience:

• High School Diploma or equivalent required; Associate’s or Bachelor’s degree in health, human services, or related field preferred.

• Minimum 1 year of experience in outreach, case   management, care coordination, or community health work.

• Experience working with Medicaid, vulnerable   populations, or behavioral health preferred.

Skills & Competencies:

• Strong communication and interpersonal skills.

• Ability to engage hard-to-reach populations and build   rapport.

• Detail-oriented with strong organizational and time   management abilities.

• Proficiency in Microsoft Office and data entry systems.

• Bilingual preferred (English/Spanish or other languages   common in the community).

Working Conditions:

• Field-based role with required travel to members’   homes, hospitals, and community sites.

• May include evenings or weekends to accommodate member   needs.

• Must be able to travel within assigned service areas;  valid driver’s license and reliable transportation required (if applicable).