Bilingual

• Placing a high volume of outbound calls to secure appointments with a licensed Nurse Practitioner
• Answering incoming calls from members and case managers
• Returning any voice mail messages in a timely manner
• Securing visits via scheduling software efficiently
• Demonstrating excellent customer service skills
• Explaining the importance of completing the annual assessment
• Conducting follow up calls to members prior to scheduled visits
• Confirming and verifying demographic and contact information
• Escalating any problems or concerns associated with field providers to the manager
• Meeting set performance standards and departmental goals

Outreach Specialist I, Bilingual Spanish

• Conducting professional, compassionate outreach to patients via phone to introduce CCM and RPM programs.
• Evaluating patient eligibility and clearly explaining program benefits and expectations.
• Accurately documenting verbal consent and patient interactions in the EMR, strictly following CMS and HIPAA guidelines.
• Collaborating with internal care teams to ensure smooth hand-offs and consistent patient support.
• Maintaining high standards of documentation to ensure accuracy for care planning and billing.
• Over time, you will become a subject matter expert in our enrollment workflows, contributing to higher program participation rates and improved patient engagement metrics.
• You will be expected to manage your daily queue independently, ensuring that every patient interaction is helpful, informative, and compliant.

Bilingual Enrollment Coordinator – CMA/RMA

• Conduct outbound calls to eligible patients and working to facilitate efficient scheduling of initial in-home appointments
• Ensure patients receive a detailed explanation of program services
• Thoroughly and accurately document call notes and scheduling details in electronic system
• Expedite emergency clinical calls as needed
• Process new appointments or changes to existing appointments
• Document accurate and concise patient/family feedback and special needs during each call in our systems, enabling our market-based clinicians to provide excellent care during each appointment
• Must achieve and sustain expected metrics set by department leadership to include but not limited to: Quality Scores, Acceptance Rates, Number of Patients Engaged and Alignment with Harmony Care Core Values
• Demonstrate compassion for individual needs, attention to detail, and collaborating with other team members
• Demonstrate a high level of professionalism and continuous improvement while participating in the call quality monitoring processes
• Utilizes exceptional communication and social skills to clearly explain services and needs to patient/family
• Complete ongoing training and coaching programs for further skills development by deadlines
• Work collaboratively and efficiently with other corporate and market based team members to ensure patients receive exceptional service
• Perform other duties as assigned

Patient Engagement Specialist, Bilingual Mandarin

• Provide education about specific diabetes treatments and resources to help patients manage their diabetes
• Participate in one-on-one communications with enrolled patients by telephone, video platforms, email and SMS
• Must work from a dedicated workspace in their primary home residence
• Experience with direct patient interaction and support for persistence and compliance
• Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines
• Demonstrated effective presentation skills and excellent interpersonal communication skills
• Demonstrated ability to work independently in a fast-paced work environment
• Demonstrated ability to build relationships with customers and cross-functional partners
• Fully competent in MS Office (Teams, Word, Excel, PowerPoint, SharePoint)

Bilingual Certified Diabetes Educator

• Conduct medication therapy management (MTM) and expanded clinical programs in accordance with the Centers for Medicare & Medicaid Services (CMS)
• Develop appropriate clinical algorithms, pathways, and call scripts to support pharmacy staff in delivering MTM services
• Review and update all algorithms and call scripts at least yearly and with updated clinical guidelines
• Develop documentation standards for all clinical outreach
• Collaborate with other CEC staff to develop and maintain a high quality and consistent MTM product
• Assist CEC leadership to develop programs to support STAR ratings outreach
• Facilitate communication and education to clients, providers, and internal staff regarding MTM programs and program outcomes
• Provide clinical outreach to members, prescribers, and pharmacy providers in order to enhance care coordination
• Provide Medicare Part D clinical, operational and educational support by maintaining knowledge of all existing updates and regulations regarding the MTM program and Medicare Part C and D performance measures (STAR ratings)
• Stay current with new guidelines, literature, recommendations, and medications, and integrate that information into the MTM and STARs programs, such that our clinical outreaches remain up to date
• Serve as a preceptor for APPE students within the CEC department
• Maintain open lines of communication with other functional areas/departments
• Develop a full understanding of Navitus Clients’ member experience and how the engagement center contributes to improved health and wellness
• Adhere to compliance and HIPAA regulations
• Other duties as assigned

See all jobs on JobTailor

Outreach Specialist I, Bilingual Spanish

Bilingual Enrollment Coordinator – CMA/RMA

Patient Engagement Specialist, Bilingual Mandarin

Bilingual Certified Diabetes Educator

Bilingual Pharmacist, Telehealth