
201 - 500 funcionários
🏥 Saúde
⚕️ Seguro de Saúde
🤝 Sem Fins Lucrativos
Healthcare • Healthcare Insurance • Non-profit
Muitas vezes, os cuidados de saúde são uma fonte de frustração em vez de uma via para a cura. O sistema pode ser ineficiente, caro e difícil de navegar.
🕒 2 dias atrás
🌲 North Carolina – Remoto
⏰ Tempo Integral
🟢 Júnior
🟡 Pleno
🚫👨🎓 Sem graduação necessária
👻 Score fantasma 12%
🗣️🇺🇸🇬🇧 Inglês obrigatório
Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

201 - 500 funcionários
🏥 Saúde
⚕️ Seguro de Saúde
🤝 Sem Fins Lucrativos
Healthcare • Healthcare Insurance • Non-profit
Muitas vezes, os cuidados de saúde são uma fonte de frustração em vez de uma via para a cura. O sistema pode ser ineficiente, caro e difícil de navegar.
• Conduct continual telephonic outreach to identified and referred members to engage them with care management services • Receive and manage referrals from data reports, clinical care management team members, PCPs, and other service providers • Complete and document member screening tools • Refer clinical needs to the appropriate clinical care management team member for assessment and follow-up • Schedule members for face-to-face or telephonic care management follow-up encounters • Meet daily and monthly program productivity and engagement metrics • Complete assignments within expected timeframes • Notify the supervisor of referral, assignment, or duty-related issues • Perform duties that keep operations organized and functional • Attend departmental and corporate meetings • Uphold CCNC goals, objectives, standards, department guidelines, company policies, and HIPAA regulations • Work with members, providers, and staff to implement program interventions, document activities, and refer appropriate members to professional staff
• High School/GED • Minimum of two years previous work experience, preferably in a health care setting • Prior telephonic call center experience desired • Healthcare experience and medical terminology knowledge highly preferred • Bilingual preferred • Strong oral and written communication proficiency • Attention to detail • Organizational and Time Management Skills • Strong Interpersonal Skills • Critical Thinking Skills • Motivational Interviewing Skills • Knowledge of Care Management Principles • Ability to work independently and use sound judgment • Multi-tasking abilities • Ability to provide information in a culturally and linguistically appropriate manner • Knowledge of and experience working in member or clinical data systems • Computer skills required, including various office software and the internet • Experience with MS Office software preferred • Must abide by HIPAA regulations • Travel using personal vehicle may be required within the region and/or the State
• Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives • Primarily remote work arrangement • Supportive and collaborative care team
Candidatar-se🕒 2 dias atrás
Prior Authorization Coordinator reviewing Medicaid authorizations and medical necessity for CHNCT members. Applying InterQual criteria and coordinating provider denial communications.
🗣️🇺🇸🇬🇧 Inglês obrigatório
🕒 2 dias atrás
Camp Placement Specialist placing international exchange participants at U.S. summer camps for CIEE. Managing recruitment, host relationships, hiring events, and BridgeUSA program placements.
🗣️🇺🇸🇬🇧 Inglês obrigatório
🕒 2 dias atrás
ACM Specialist driving Microsoft 365, Copilot, and end-user adoption for F12.net clients. Designing change strategies, delivering training, and tracking technology adoption.
🗣️🇺🇸🇬🇧 Inglês obrigatório
🕒 2 dias atrás
Transportation claims specialist managing commercial auto claims, liability investigations, and subrogation recoveries. Supporting Charger Logistics’ asset-based freight transportation operations.
🗣️🇺🇸🇬🇧 Inglês obrigatório
🕒 2 dias atrás
Tendering and Proposal Specialist developing competitive bids and quotations for Hitachi Energy’s sustainable energy solutions. Coordinating technical, commercial, pricing, risk, and customer requirements.
🗣️🇺🇸🇬🇧 Inglês obrigatório