Outreach Support Specialist

Description

Join the Team at PedIM Healthcare!

Delivering exceptional care, together.

Who We Are
PedIM Healthcare is the first private medical office of its kind in Citrus County – offering top-quality care for children, adults, and seniors all under one roof. We provide pediatric, adult internal medicine, family practice, geriatrics, women’s care, medical weight-loss, sleep-medicine services and more.

Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County. 

Why Work With Us?

• A broad, multi-discipline practice where you can grow: pediatrics, internal medicine, weight-loss & sleep medicine specialties.
• A values-driven environment: we listen, we help, we understand—and we care.
• Community-oriented and recognized: voted “best of the best” in the region.
• Opportunity to make a meaningful impact by supporting patients over their full life span—from children to seniors.
• A workplace committed to employee development and delivering holistic care.

The Role

We are seeking a proactive and compassionate Outreach Support Specialist to join our Primary Care team! 

The Outreach Support Specialist is an integral member of the Outreach Team, working collaboratively with the Outreach Coordinator and Outreach Provider to support high-risk Medicare patients. This role focuses on executing daily outreach tasks that promote care continuity, reduce unnecessary hospital utilization, and enhance the overall patient experience.

What You'll Do:

• Conduct outreach to patients with chronic conditions, recent hospitalizations, or frequent emergency room visits.
• Confirm upcoming appointments, provide reminders, and assist with follow-up scheduling, including Transitional Care Management (TCM) and Emergency Room Follow-Up (ERFU) visits.
• Assist in scheduling urgent or same-day appointments to help divert non-emergent cases from the ER or hospital.
• Reinforce discharge instructions and educate patients on the appropriate use of primary care versus emergency services.
• Contact external facilities—including hospitals, skilled nursing facilities (SNFs), and assisted living facilities (ALFs)—to gather discharge summaries, treatment updates, or care coordination details.
• Accurately document all outreach activities and patient responses in the EMR and designated tracking tools.
• Utilize and maintain outreach spreadsheets to monitor patient status, contact history, and scheduling progress.
• Identify and flag patient barriers (e.g., transportation, medication access) and escalate issues requiring additional support.
• Provide general education and direction to patients regarding available resources and care pathways.
• Prepare and distribute outreach-related materials such as care plans, referral forms, resource packets, and patient mailers.
• Respond to incoming calls on the hospital diversion line and assist in coordinating timely care as needed.
• Communicate with external providers and facilities to relay routine updates and facilitate care coordination.
• Collaborate with the Outreach Coordinator, Outreach Provider, and other internal departments to maintain aligned outreach efforts.
• Escalate complex patient needs or urgent concerns to the Outreach Coordinator or appropriate clinical staff.
• Complete other tasks assigned.

Requirements

Qualities That Make You A Great Fit:

• Excellent communication and interpersonal skills with a patient-first approach required.
• Ability to manage multiple patients and tasks in a fast-paced, high-touch environment.
• Strong organizational skills and follow-through.
• Familiarity with EHR systems, hospital discharge processes, and SNF/ALF placement procedures preferred.
• Clinical background (e.g., LPN, RN, MA, Social Work) or equivalent healthcare coordination experience preferred.
• Knowledge of ACO workflows, Medicare population health management, and healthcare cost containment strategies preferred.
• Experience in a healthcare setting, preferably in care coordination, case management, or a PCP office preferred.
• Bilingual skills are a plus.

All employment offers at PedIM Healthcare are contingent upon the successful completion of applicable background checks, verification of credentials, and compliance with health and safety requirements. 

Compliance & Equal Opportunity Notice 

PedIM Healthcare is proud to be an Equal Opportunity Employer and is fully committed to compliance with all federal, state, and local employment laws. We believe every team member deserves a workplace built on respect, fairness, and opportunity.

We do not discriminate on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, gender identity, and sexual orientation), national origin, age, disability, genetic information, marital status, veteran status, or any other protected characteristic under applicable law.

In alignment with the Americans with Disabilities Act (ADA), PedIM Healthcare provides reasonable accommodations to qualified individuals with disabilities to ensure equal access to employment opportunities and participation in all aspects of our hiring and employment processes.

Employment at PedIM Healthcare is offered on an at-will basis and is contingent upon the successful completion of all required background checks, credential verifications, and health or safety screenings consistent with healthcare regulatory standards. Certain roles may also require proof of immunizations or other health compliance documentation.

We are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community.