Call Center Coordinator

Community Care of North Carolina•Cary, NC

2d•Remote

About The Position

About CCNC From the mountains to the coast, from large cities to small towns, Community Care of North Carolina is transforming health care. Informed by statewide data and predictive analytics, community-based care-managers work with local physicians and diverse teams of health professionals to develop whole-person plans of care that connect people to the right local resources and increase equity and access to high quality care. CCNC Mission Statement To improve the health and quality of life for all North Carolinians by building supporting better community-based healthcare delivery systems. Position Summary The Call Center Coordinator is responsible for telephonic outreach and screening of identified members based on plan stratification for care management with a call center approach. Call Center staff also monitor for incoming calls, process referrals, and assist with any questions or needs identified. An experienced and energetic communicator, the coordinator is focused on deepening program participation as well as making members aware of CCNC (plan) programs and offerings. The Call Center Coordinator interacts with members, providers, and other staff to initiate program interventions, document activities, and refer risk appropriate members to professional staff according to protocols. The candidate for this position must have a disposition towards good customer service, be assertive without being aggressive, and always maintain a professional demeanor. The Call Center Coordinator will work remotely to cover needs across the state.

Requirements

High School Diploma/ or GED
Prior telephonic call center experience desired
Minimum of two years previous work experience, preferably in a healthcare setting
Healthcare experience and medical terminology knowledge highly preferred
Bilingual preferred
Managed care experience a plus
Computer skills required including various office software and the internet; experience with MS Office software preferred
Strong initiative and attention to detail
Performance metric driven and productivity mindset
Strong oral and written communication proficiency
Organizational and time management skills
Strong interpersonal and critical thinking skills; team-oriented
Resourceful - able to shift strategy or approach in response to the demands of a situation
Adaptable - responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives
Motivational interviewing skills
Knowledge of Care Management principles
Ability to work independently, multi-task, and to use sound judgment when needed
Outgoing and energetic attitude; respectful customer service skills
Ability to provide information in a manner that is culturally and linguistically appropriate
Knowledge of and experience working in member or clinical data systems

Nice To Haves

Prior telephonic call center experience desired
Healthcare experience and medical terminology knowledge highly preferred
Bilingual preferred
Managed care experience a plus
experience with MS Office software preferred

Responsibilities

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 functioning 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.
Attend departmental and corporate meetings.
Understand and uphold CCNC goals, objectives, and standards.
Perform all other duties as requested.