Member Engagement Specialist

Job not on LinkedIn

🕒 June 2

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Community Care of North Carolina

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Community Care of North Carolina is committed to improving the health of its communities by transforming the healthcare experience. The organization addresses the inefficiencies and frustrations often associated with healthcare delivery by uniting regional networks of healthcare professionals, including doctors, nurses, and social service agencies. Through a public-private partnership, they implement a Medical Home model that emphasizes cooperative, coordinated care tailored to individual patients, benefiting millions in North Carolina.

📋 Description

• Conduct continual telephonic outreach to identified and referred members focused on engaging members with care management services • Receive and manage referrals from data reports; clinical care management team members, PCP, or other service providers for efficient screening and linking members with care management • Complete and document member screenings tools and refer clinical needs to most appropriate clinical care management team member for assessment and follow up; Schedule members for face-to-face or telephonic encounters for care management follow up • Meet daily and monthly program productivity and engagement metrics • Complete all assignments within expected timeframes; Notify supervisor promptly of any issues with receiving or sending referrals, making timely care management assignments, or issues with carrying out any other duties assigned • Abide by department guidelines, company policies, and HIPAA regulations • Perform other duties that assist in keeping the operation organized and functional • Attend departmental and corporate meetings • Understand and uphold CCNC goals, objectives, and standards

🎯 Requirements

• High School/GED • Prior telephonic call center experience desired • Minimum of two years previous work experience, preferably in a health care setting • Healthcare experience and medical terminology knowledge highly preferred • Bilingual preferred • Managed care experience a plus

🏖️ Benefits

• Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives