Renalogic

Bilingual

• Provide remote health coaching to members at risk for dialysis in both English and Spanish languages.
• Establish and maintain contact with assigned and active members via phone, text, and email.
• Obtain and utilize clinical information to develop an individualized member care plan and clinician-centered care plan per NCQA guidelines.
• Assess members' health status and care coordination needs.
• Collaborate with members’ health care providers as needed.
• Utilize motivational interviewing techniques, individualized care plans, and the Triple Aim framework to empower active Members to reach their health goals.
• Explain to new or inactive members the benefits of the Program as it relates to chronic kidney disease and those at risk; encourage enrollment.
• Appropriately document, request, and send member information in accordance with HIPAA compliance.
• Meet individually assigned metrics, including call volume and enrollment requirements; proactively assess and revise approach using multiple forms of communication.

Clinical Care Manager, Bilingual

Manager

• Provide remote health coaching to members at risk for dialysis.
• Establish and maintain contact with assigned and active members via phone, text, and email.
• Obtain and utilize clinical information to develop individualized member care plans and clinician-centered care plans per NCQA guidelines.
• Assess members' health status and care coordination needs.
• Collaborate with members’ health care providers as needed.
• Use motivational interviewing techniques, individualized care plans, and the Triple Aim framework to empower members to reach health goals.
• Explain program benefits to new or inactive members and encourage enrollment in employer-sponsored program.
• Appropriately document, request, and send member information in accordance with HIPAA compliance.
• Meet assigned metrics, including call volume and enrollment requirements; proactively revise approach using multiple forms of communication.
• Attend some evening hours and travel for corporate gatherings, conferences, and health fairs.

Clinical Care Manager

Client Services Representative

• Serve as the face of Renalogic to assigned clients, representing program operations, value and impact
• Manage end-to-end client experience, ensuring smooth implementation and ongoing support for dialysis cost containment and clinical support programs
• Take accountability for new-client implementation for all assigned accounts, ensuring completion and documentation of critical steps for compliance
• Collaborate with clients to ensure ImpactCare, ImpactAdvocate, and ImpactProtect teams receive necessary client information
• Ensure client information is entered and updated in relevant systems
• Distribute regular program reporting and present value and impact to clients and stakeholders
• Retain groups year over year and actively upsell other products and create referral business
• Engage groups through client stewardship meetings, on-site events, and relationship-building activities
• Create, distribute, and present client implementation, retention, and renewal reports to internal stakeholders, including Senior Leadership and Board of Directors
• Report on client KPIs and distribute quarterly client reports to key client contacts
• Develop relationships with key client contacts and other stakeholders; maintain a pulse on their strategic priorities and challenges
• Work cross functionally with internal operational teams to address client needs, issues, opportunities and customizations

Client Service Manager

• Make calls and outreaches in English and Spanish and describe the benefits of our program.
• Engage with and enroll eligible health plan members into ImpactCare and/or ImpactAdvocate programs, which provide no-cost health education, coaching, support and advocacy to individuals with or at risk of kidney disease.
• Meet call volume and enrollment requirements; proactively assess and revise approach as needed or directed using multiple forms of communication (i.e. phone, text, secure online chat).
• Determine eligibility and perform various enrollment and disenrollment processes for related members to ensure compliance.
• Partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guide lines.
• Obtain missing information and data, such as phone numbers, to complete enrollment questionnaires and document important information.
• Contact provider offices to obtain information such as fax numbers and request medical records.
• Anticipate workflow needs based on established processes, policy, and procedures.
• Appropriately document all outreach efforts in a way that promotes departmental transparency and complies with HIPAA.
• Appropriately document health data which includes identifying potential cost containment opportunities; refer high-risk or changes in status situations to Health Coaches and/or Care Managers.
• As needed, communicate needs, challenges, and provide feedback to peers and Coach.
• As needed, complete claims and pre-certification reviews.

Outreach and Enrollment Specialist, Bilingual

Accountant

• Complete most monthly close duties by reconciling all financial statements, bank accounts, credit cards, benefits, and insurance statements; prepare and record prepaids, depreciation, and all journal entries; address and research discrepancies.
• Gather and process AP as approved by submitting payments through vendor sites, established bill pay system, or manual checks.
• Manage AR biweekly by sending initial invoices, collecting, and processing payments, following up with delinquent accounts, fostering client relationships, and keeping contact information current.
• Work with internal committees and stakeholders to identify, assess, and onboard AP/AR vendors that support healthy financial controls and transparency.
• Work with internal team members to review and manage client credits, adjustments, and admin fee payments.
• Process and submit payroll through ADP and/or Paycor; review payroll pre-process reports address any variations; document concerns and adjustments, as well as obtain approval before submitting for final processing.
• Review, make changes to, socialize, and implement new SOPs to strengthen financial controls.
• Work with HR and other individuals to appropriately identify, file, and document employment related state and federal filings.
• Work with external stakeholders to ensure that all tax filings for state and federal are completed and documented.
• Other work and ah hoc projects may be assigned as well.

Clinical Care Manager, Bilingual

Clinical Care Manager

Client Service Manager

Outreach and Enrollment Specialist, Bilingual

Accountant I