
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.
🔥 5 minutes ago
🌲 North Carolina – Remote
⏰ Full Time
🟢 Junior
🟡 Mid-level
📞 Call Center Representative
🚫👨‍🎓 No degree required
đź‘» Ghost score 10%
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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.
• Conduct continual telephonic outreach to identified and referred members to engage them with care management services • Receive, retrieve, and manage referrals from callers and data reports • Complete and document member screening tools and refer clinical needs to appropriate clinical care management team members • Verify demographic information • Send educational materials, welcome letters, and other resources to members • Help identify and address Social Determinant of Health needs • Assist with scheduling medical appointments and transportation • Provide information on community resources • Assist members with care coordination, resource needs, and health care system navigation • Provide culturally appropriate general education and information • Monitor incoming calls and assist with member questions or needs • Meet monthly productivity and role expectations • Complete assignments within expected timeframes • Notify the supervisor of referral or assignment issues • Collaborate with the Care Team to address barriers and improve processes • Attend departmental and corporate meetings • Perform other duties as requested • Work remotely to cover needs across North Carolina
• High School Diploma or GED • Prior telephonic call center experience desired • Minimum of two years previous work experience, preferably in a healthcare setting • Healthcare experience and medical terminology knowledge highly preferred • Bilingual preferred • Managed care experience a plus • Computer skills required including various office software and the internet • Experience with MS Office software preferred • Strong initiative and attention to detail • Performance metric driven and productivity mindset • Strong oral and written communication proficiency • Organizational and time management skills • Strong interpersonal and critical thinking skills; team-oriented • Resourceful and adaptable • Motivational interviewing skills • Knowledge of Care Management principles • Ability to work independently, multi-task, and use sound judgment • Outgoing and energetic attitude; respectful customer service skills • Ability to provide information in a culturally and linguistically appropriate manner • Knowledge of and experience working in member or clinical data systems • Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices • Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds • Hands-on clinical treatment is not permitted when performing duties for the organization • Ability to comply with department guidelines, company policies, and HIPAA regulations
• Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives • Remote work arrangement • Supportive and collaborative care team
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