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Member Care Coordinator
Community Care of North Carolina. Collaborate with Care Management and/or quality improvement staff to support multidisciplinary patient care .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination, patient engagement, and health education while effectively navigating clinical data systems and adhering to HIPAA regulations. Proficient in addressing social determinants of health and advocating for diverse patient populations.
Highest-signal resume keywords
Care CoordinationPatient EngagementMotivational InterviewingKnowledge of Medical TerminologyExperience in Health Care Setting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Care ManagementData DocumentationEligibility VerificationHealth EducationEHR AccessOffice Software ProficiencyCare Gap IdentificationSupplemental Data SubmissionScheduling Medical AppointmentsKnowledge of State and Federal Benefits
Soft Skills
Excellent Oral CommunicationExcellent Written CommunicationOrganizational SkillsTime Management SkillsSensitivity to Diversity
Tools & Technologies
Care Management Documentation PlatformEHR SystemsMS Office SoftwareOffice Equipment
Industry Keywords
HIPAA ComplianceHealth System NavigationSocial SupportQuality ImprovementPerformance Indicators
About the role
Key responsibilities & impact- Collaborate with Care Management and/or quality improvement staff to support multidisciplinary patient care
- Meet key performance indicators, including closing care gaps, reducing hospitalizations, readmissions, emergency department utilization, and PMPM costs
- Receive and document referrals in the Care Management documentation platform
- Conduct member outreach, engagement, scheduling, eligibility verification, demographic verification, and screenings
- Mail educational materials, consent forms, and other documents to members
- Assist with referrals and delegated tasks for Care Management or program teams
- Provide resource access and coordination, care coordination, health-system navigation, health education, general education, and social support
- Advocate for members and address social determinants of health
- Identify care gaps and conduct outreach to close them
- Assist practices with supplemental data submission and scheduling medical appointments and transportation
- Pull care-gap, recommended-actions, and high-risk reports
- Access multiple EHRs and hospital/medical-record systems to obtain and upload documents into the care management platform
- Meet productivity and role expectations
- Collaborate with the Care Team to address barriers and improve process efficiency
- Attend departmental and corporate meetings, trainings, and required events
- Uphold CCNC goals, objectives, standards, policies, and HIPAA requirements
- Perform other duties as requested
Requirements
What you’ll need- High school diploma or GED required
- 2–4 years minimum experience in a health care setting required
- 2- or 4-year degree in a health-related field preferred
- Bilingual preferred
- Knowledge of and experience working in patient or clinical data systems
- Computer skills required, including various office software and the internet
- Experience with MS Office software preferred
- Knowledge of state and federal benefits system
- Excellent oral and written communication skills
- Proficient Motivational Interviewing skills
- Organizational and time management skills
- Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels
- Knowledge of medical terminology
- Ability to respond positively to change and learn new ways to accomplish work activities and objectives
- Ability to shift strategy or approach in response to situational demands
- Ability to use office equipment, computer, keyboard, and phone with or without assistive devices
- Ability to perform repetitive wrist motion and occasionally lift/carry up to 25 pounds
- Travel may be required within the region and/or the State
- Must abide by HIPAA regulations and CCNC privacy and security policies
Benefits
Comp & perks- Competitive Benefits Package effective first day of employment
- Opportunities for growth, training, and bonus incentives
- Meaningful impact on youth and families across North Carolina
- Supportive and collaborative care team