Erin Russell
Outreach Care Coordination professional specializing in Member Engagement, Account Management & Recruiting
- Role
- Outreach Care Specialist at Elevance Health
- Location
- Middletown, DE, US
- LinkedIn followers
- 500 followers
About Erin Russell
Healthcare Operations & Medical Management Support Professional with 3+ years of experience supporting healthcare programs through member and provider engagement, benefit interpretation, and case documentation. Outreach Care Specialist able to work remotely in high volume, metrics driven environments. Review and analyze benefit components, identifying potential risks or barriers to care, and assist in management of cases while providing clear education and engagement with both members and providers. Experienced working within regulated, audit-driven environments requiring accuracy, discretion, and timely escalation. Skills • Benefit interpretation & medical management support • Member and provider engagement & education • Case creation and risk identification & escalation• Care coordination management and administration• Metrics-driven, compliance-focused environments • Inbound and outbound healthcare communications • MS Office – Excel, Word, Access, Project • Knowledge of medical terminology Previous Experience includes around 15 years of full cycle technical recruiting and talent acquisition, B2B outside sales, virtual assistance, content creation, and digital marketing. Recognized for exceeding quotas and driving new business in various assigned territories.
Experience
Outreach Care Specialist
Oct 2025 — Present · Wilmington, DE, US
Feb 2026- Joined the Transplant team as a Contract Benefits Specialist, assisting with hundreds of requests each day for major transplants and treatments, ensuring documents are routed to the proper clinical team and entering data in various Medical Management Systems is entered quickly and accurately. • Support the Healthy Blue Kansas Care Coordination team through daily outreach to members to complete health screening questionnaires; provide education and resources; and address questions related to benefits, services, and next steps. • Answer inbound calls from providers about patient claims, routing inquiries to the proper internal teams to ensure prompt resolution. • Help create, update, and maintain cases using Elevance proprietary medical management systems, ensuring exact documentation to support Care Coordination workflows. • Identify potential risk indicators during member interactions and escalate findings to appropriate internal teams in accordance with program guidelines. • Ensure all documentation is HIPAA compliant in a fast paced, metrics-driven environment, contributing to the team meeting contractual obligations with the state of Kansas.
Education
Coursera
Certificate
2025 — 2025
University of Colorado Boulder
Bachelors
1999 — 2003
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