Care Coordination Specialist — Remote & Growth Opportunities

Community Care of North Carolina Inc; North Carolina; Hybrid; USD 36,000 - 48,000; Full time

Benefits offered by this job

Bonus incentives

Growth opportunities

Training opportunities

Job summary

Community Care of North Carolina Inc. is seeking a Member Care Coordinator to support the care management team, close care gaps, and reduce hospital utilization across North Carolina.

The role may be remote within regions or on-site at CCPN practices, contributing to a multi-disciplinary approach and adherence to privacy policies. The position requires health care experience, strong data system skills, and the ability to coordinate referrals and care across diverse providers.

Qualifications

• High school diploma or GED required.
• 2-4 years minimum experience in a health care setting required.
• 2 or 4-year degree in health-related field preferred.
• Bilingual preferred.

Responsibilities

• Receive and document all referrals from various sources into the care management documentation platform.
• Outreach, Engagement, and scheduling of members for Care Managers.
• Assist with mailing educational materials, consent forms or other documents to the member as necessary.
• Assist with referrals on behalf of the Care Management or program team.
• Assist with tasks delegated by the Care Management or program team.
• Assist member with care coordination and health care system navigation.
• Identify care gaps and outreach to members to close gaps as requested.
• Assist practice to submit supplemental data to health plans to provide documentation of gap closure as requested; assist with scheduling medical appointments and transportation as needed.
• Assist with pulling Care Gap/Recommended Actions/High Risk reports.
• Access multiple EHRs (electronic health records) to obtain and upload documents into the care management platform.
• Access to Hospital/Data or Electronic Medical Record system will be required, as necessary.
• Collaborate with the Care Team to address barriers and create efficiency with processes.
• Adhere to CCNC Privacy and Security policies to ensure that patient and company data is properly safeguarded.
• Abide by department guidelines, company policies, and HIPAA regulations.
• Attend Departmental and corporate meetings, local and regional trainings, or other events as required.
• Travel may be required within the region and/or the State.
• Make a meaningful impact on youth and families across North Carolina
• Work with a supportive and collaborative care team
• Opportunities for growth, training, and bonus incentives*

Skills

Healthcare experience

Data systems

MS Office

Organization & time management

Cultural sensitivity

Medical terminology

Adaptability

Communication with multiple contacts

Equipment & technology use

Education

High school diploma or GED

2-4 year degree in health-related field

Bilingual preferred

Tools

EHR systems

MS Office

Job description

Community Care of North Carolina Inc. is seeking a Member Care Coordinator to support the care management team, close care gaps, and reduce hospital utilization across North Carolina.

The role may be remote within regions or on-site at CCPN practices, contributing to a multi-disciplinary approach and adherence to privacy policies. The position requires health care experience, strong data system skills, and the ability to coordinate referrals and care across diverse providers.