
201 - 500 employees
đĽ Healthcare
âď¸ Healthcare Insurance
đ¤ 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.
đ August 4
đ˛ North Carolina â Remote
â° Full Time
đ˘ Junior
đĄ Mid-level
đ Call Center Representative
đŤđ¨âđ No degree required
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201 - 500 employees
đĽ Healthcare
âď¸ Healthcare Insurance
đ¤ 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/or 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 Determinants 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 ⢠Meet monthly productivity and role expectations ⢠Complete assignments within expected timeframes ⢠Perform duties that keep operations organized and functioning ⢠Notify the supervisor of referral, assignment, or other operational issues ⢠Collaborate with the Care Team to address barriers and create process efficiencies ⢠Follow department guidelines, company policies, and HIPAA regulations ⢠Attend departmental and corporate meetings ⢠Uphold CCNC goals, objectives, and standards
⢠High School Diploma or GED ⢠Minimum of two years of previous work experience, preferably in a healthcare setting ⢠Prior telephonic call center experience desired ⢠Healthcare experience and medical terminology knowledge highly preferred ⢠Bilingual preferred ⢠Managed care experience a plus ⢠Computer skills, including office software and internet use ⢠MS Office experience 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 ⢠Motivational interviewing skills ⢠Knowledge of care management principles ⢠Ability to work independently, multitask, and use sound judgment ⢠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 ⢠Ability to use office equipment, computer, keyboard, and phone with or without assistive devices ⢠Ability to perform 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
⢠Competitive Benefits Package effective first day of employment ⢠Opportunities for growth, training, and bonus incentives ⢠Supportive and collaborative care team ⢠Remote work
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đŤđ¨âđ No degree required