Bilingual Clinical Call Center Specialist (English/Spanish)

Nirvana Healthcare Management Services; West Orange (NJ); On-site; USD 40,000 - 55,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Health insurance

Life insurance

Paid sick time

Paid time off

Vision insurance

Job summary

Nirvana Healthcare is seeking a bilingual, medically trained Call Center Representative based in New Jersey to support Transitional Care Management (TCM) and Chronic Care Management (CCM) initiatives. The role requires English/Spanish fluency and clinical knowledge to communicate effectively with patients and coordinate with the clinical team.

Responsibilities include inbound/outbound calls, post-discharge follow-up, CCM outreach, medical documentation in EMR, and escalation of urgent issues.

Qualifications

• Must be bilingual in English and Spanish.
• Prior clinical or hands-on medical experience is required.
• Experience with EMR/EHR systems preferred.
• Strong communication and organizational skills are essential.

Responsibilities

• Conduct inbound and outbound patient calls related to TCM and CCM services.
• Follow up with patients after hospital discharge to coordinate care and schedule follow-ups.
• Outreach to patients enrolled in CCM programs.
• Review patient-reported symptoms and escalate clinical issues as needed.
• Assist patients with medication questions and document concerns for the clinical team.
• Identify barriers to care and assist with transportation, appointment access, and medications.
• Document all interactions accurately in the EMR system.
• Coordinate with physicians, nurses, and care coordinators to ensure continuity of care.
• Provide patient education and reinforce care plans under clinical supervision.
• Maintain patient confidentiality and HIPAA compliance.
• Meet call volume and documentation accuracy expectations.

Skills

Bilingual EN/ES

Clinical experience

Medical terminology

Communication skills

Time management

Independent worker

Documentation accuracy

Escalation ability

Education

MA/LPN/FM G background

Healthcare certification

Tools

EMR/EHR systems

Job description

Nirvana Healthcare is seeking a bilingual, medically trained Call Center Representative based in New Jersey to support Transitional Care Management (TCM) and Chronic Care Management (CCM) initiatives. The role requires English/Spanish fluency and clinical knowledge to communicate effectively with patients and coordinate with the clinical team.

Responsibilities include inbound/outbound calls, post-discharge follow-up, CCM outreach, medical documentation in EMR, and escalation of urgent issues.