Community Care of North Carolina

Call Center Representative

• Conduct continual telephonic outreach to identified and referred members focused on engaging members with care management services.
• Receive/retrieve and manage referrals from callers and/or data reports, linking members with care management needs as identified.
• Complete and document member screenings tools and refer clinical needs to most appropriate clinical care management team member for assessment and follow up.
• Verify demographic information.
• Send educational materials, Welcome Letters, and/or other resources to members, as necessary.
• Assist to identify and address Social Determinant of Health needs.
• Assist with guidance in scheduling medical appointments and transportation as needed.
• Provide information on community resources.
• Assist member with care coordination of resource needs and health care system navigation.
• Provide culturally appropriate general education and information.
• Meet monthly productivity and role expectations.
• Complete all assignments within expected timeframes.
• Perform other duties that assist in keeping the operations organized and functions as needed.
• 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.
• Collaborate with the Care Team to address barriers and create efficiencies with processes.
• Abide by department guidelines, company policies, and HIPAA regulations.
• Perform all other duties as requested.
• Attend departmental and corporate meetings.

Call Center Coordinator

Operations

• Part Time Intern - Remote position supporting Care Management Operations
• Work on post-data migration cleanup project; assist in data entry, reporting, data analysis, technical operations and tooling
• Gain experience using care management systems and data visualization tools
• Review and categorize data involved in the cleanup project for deletion using CM Operations tools
• Support CM Operations & App Development team by learning data analysis skills
• Provide analytical support in relation to the project as needed

Call Center Coordinator

Care Management Operations Intern