Member Engagement Specialist

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Engage in consistent telephonic outreach to connect with identified and referred members for care management services.

• Manage and receive referrals from data reports, clinical care management team members, primary care providers (PCPs), and other service providers.

• Complete and document member screening instruments.

• Refer clinical requirements to the suitable clinical care management team member for evaluation and follow-up.

• Arrange face-to-face or telephonic follow-up encounters for members in care management.

• Achieve daily and monthly productivity and engagement benchmarks for the program.

• Fulfill assignments within designated timeframes.

• Inform the supervisor of any issues related to referrals, assignments, or duties.

• Execute tasks that ensure operations remain organized and efficient.

• Participate in departmental and corporate meetings.

• Adhere to CCNC goals, objectives, standards, departmental guidelines, company policies, and HIPAA regulations.

• Collaborate with members, providers, and staff to implement program interventions, document activities, and refer the appropriate members to professional staff.

⛳️ Requirements

• High School diploma or GED.

• A minimum of two years of prior work experience, preferably in a healthcare environment.

• Previous experience in a telephonic call center is preferred.

• Healthcare experience and familiarity with medical terminology are highly desirable.

• Bilingual candidates are preferred.

• Strong verbal and written communication skills.

• Excellent attention to detail.

• Strong organizational and time management abilities.

• Exceptional interpersonal skills.

• Critical thinking capabilities.

• Proficiency in motivational interviewing techniques.

• Understanding of care management principles.

• Ability to work independently and exercise sound judgment.

• Capacity to handle multiple tasks simultaneously.

• Ability to provide information in a culturally and linguistically appropriate manner.

• Familiarity with member or clinical data systems.

• Required computer skills, including proficiency in various office software and internet usage.

• Experience with MS Office software is preferred.

• Must comply with HIPAA regulations.

• Travel within the region and/or state using a personal vehicle may be necessary.

🏝️ Benefits

• Competitive benefits package effective from the first day of employment.

• Opportunities for professional growth, training, and bonus incentives.

• Primarily remote work arrangement.

• Supportive and collaborative care team.