Member Engagement Specialist

Community Care of North Carolina

. Conduct continual telephonic outreach to identified and referred members to engage them with care management services .

Posted 10/3/2026full-timeRemote • North Carolina • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Care Management Principles and effective telephonic outreach, ensuring compliance with HIPAA regulations while engaging members in care management services. Proficient in managing clinical data systems and delivering culturally appropriate information.

Highest-signal resume keywords

Care Management PrinciplesTelephonic Call Center ExperienceHealthcare ExperienceOrganizational SkillsBilingual Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical TerminologyMember Screening ToolsMulti-tasking AbilitiesCritical Thinking SkillsMotivational Interviewing Skills

Soft Skills

Strong Oral CommunicationStrong Written CommunicationAttention to DetailInterpersonal SkillsTime Management Skills

Tools & Technologies

Clinical Data SystemsMS Office SoftwareOffice SoftwareInternet Proficiency

Industry Keywords

HIPAA RegulationsHealthcare SettingCare Management ServicesCulturally Appropriate Communication

About the role

Key responsibilities & impact

Conduct continual telephonic outreach to identified and referred members to engage them with care management services
Receive and manage referrals from data reports, clinical care management team members, PCPs, and other service providers
Complete and document member screening tools
Refer clinical needs to the appropriate clinical care management team member for assessment and follow-up
Schedule members for face-to-face or telephonic care management follow-up encounters
Meet daily and monthly program productivity and engagement metrics
Complete assignments within expected timeframes
Notify the supervisor of referral, assignment, or duty-related issues
Perform duties that keep operations organized and functional
Attend departmental and corporate meetings
Uphold CCNC goals, objectives, standards, department guidelines, company policies, and HIPAA regulations
Work with members, providers, and staff to implement program interventions, document activities, and refer appropriate members to professional staff

Requirements

What you’ll need

High School/GED
Minimum of two years previous work experience, preferably in a health care setting
Prior telephonic call center experience desired
Healthcare experience and medical terminology knowledge highly preferred
Bilingual preferred
Strong oral and written communication proficiency
Attention to detail
Organizational and Time Management Skills
Strong Interpersonal Skills
Critical Thinking Skills
Motivational Interviewing Skills
Knowledge of Care Management Principles
Ability to work independently and use sound judgment
Multi-tasking abilities
Ability to provide information in a culturally and linguistically appropriate manner
Knowledge of and experience working in member or clinical data systems
Computer skills required, including various office software and the internet
Experience with MS Office software preferred
Must abide by HIPAA regulations
Travel using personal vehicle may be required within the region and/or the State

Benefits

Comp & perks

Competitive Benefits Package effective first day of employment
Opportunities for growth, training, and bonus incentives
Primarily remote work arrangement
Supportive and collaborative care team