Member Engagement Specialist

🕒 il y a 21 jours

🌲 North Carolina – Distant

infoinfo

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🚫👨‍🎓 Aucun diplôme requis

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Community Care of North Carolina

Community Care of North Carolina

201 - 500 employés

🏥 Santé

⚕️ Assurance santé

🤝 À but non lucratif

Healthcare • Healthcare Insurance • Non-profit

Trop souvent, les soins de santé sont une source de frustration plutôt qu'un chemin vers la guérison. Le système peut être inefficace, coûteux et difficile à naviguer.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives • Primarily remote work arrangement • Supportive and collaborative care team

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