Member Engagement Specialist

Job 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

Requirements:

• 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

Benefits:

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