Care Management Representative

Jobtailor; Columbia (SC); On-site; USD 42,000 - 62,000; Full time

Job summary

Jobtailor in Columbia, SC is seeking an Administrative Support Specialist to assist clinical care coordination programs. You will provide non-clinical support to Care Managers and Health Coaches, conduct outreach to engage and enroll members, and handle inbound enrollment calls.

The role emphasizes confidential health information handling, appointment scheduling, and collaboration with PCPs and specialists to facilitate enrollment and services.

Qualifications

• Two years of strong customer service experience handling confidential health information.
• Associate degree in Nursing, Social Work, or healthcare related field.

Responsibilities

• Provide administrative and programmatic support for clinical care coordination.
• Offer non-clinical support to Care Managers and Health Coaches.
• Conduct telephonic outreach to enroll members into care management programs.
• Take inbound enrollment calls and provide inbound backup for Care Manager calls.
• Manage mailings and outreach correspondence to providers regarding enrollment status.
• Schedule appointments for Care Manager follow-up.
• Coordinate contact with PCPs and specialists regarding enrollment and services.
• Organize and establish community services as needed.
• Monitor closed cases based on defined monitoring criteria.
• Perform other duties as assigned.

Skills

Customer Service

Telephonic Outreach

Appointment Scheduling

Confidential Health Information

Healthcare Coordination

Education

Associate Degree in Nursing

Associate Degree in Social Work

Tools

EMR Systems

Job description

• Function as a core team member of the care team pod, completing administrative and programmatic support tasks for clinical care coordination programs
• Provide non-clinical support to Care Managers and Health Coaches
• Conduct telephonic outreach to engage and enroll members into care management programs
• Take inbound enrollment calls and provide inbound backup for Care Manager calls
• Manage mailings and outreach correspondence, including enrollment status, opt-out, and inability-to-reach correspondence to providers
• Schedule appointments for Care Manager follow-up
• Contact PCPs and specialists regarding member enrollment and additional programs/services
• Organize and establish community services as needed
• Monitor closed cases based on defined monitoring criteria
• Perform other duties as assigned

Requirements

• Associate degree in Nursing, Social Work, or healthcare related field of study
• Two (2) years of strong customer service experience handling confidential health information
• Health system experience preferred
• Experience with EMR (electronic medical records) preferred

Core Competencies

Demonstrates expertise in administrative support for clinical care coordination, with a focus on customer service and managing confidential health information. Proficient in telephonic outreach and appointment scheduling to enhance member engagement in care management programs.

Highest-signal resume keywords

• Customer Service Experience
• Telephonic Outreach
• Appointment Scheduling
• EMR Experience
• Healthcare Coordination

Hard Skills

• Administrative Support
• Program Coordination
• Confidential Health Information Management
• Case Monitoring
• Community Service Organization

Soft Skills

• Communication
• Interpersonal Skills
• Organizational Skills

Certifications & Qualifications

• Associate Degree in Nursing
• Associate Degree in Social Work

Industry Keywords

• Care Management Programs
• Health System Experience
• Enrollment Processes
• Provider Communication