Remote Member Care Navigator

Community Care of North Carolina Inc; Clayton (NC); Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Bonus incentives

Growth opportunities

Training provided

Job summary

Community Care of North Carolina Inc is seeking a Member Care Coordinator to support the multi-disciplinary Care Management team. This non-clinician role focuses on closing care gaps, reducing hospitalizations, and improving access to resources across North Carolina.

You may work remotely within regions or on-site at CCPN practices. The position emphasizes referrals, member outreach, care navigation, and collaboration with providers, while adhering to privacy and security policies.

Qualifications

• High school diploma or GED required.
• 2–4 years minimum experience in a health care setting.
• 2 or 4-year degree in health-related field preferred.
• Bilingual skills preferred.
• Knowledge of patient or clinical data systems.
• Experience with MS Office software.
• Strong organizational and time-management skills.
• Sensitivity to diversity of cultures, language barriers, health literacy and educational levels.
• Knowledge of medical terminology.
• Able to adapt strategies or approaches to changing situations.
• Multiple contacts across providers and programs for care coordination.

Responsibilities

• Receive and document referrals into the care management platform.
• Outreach, engagement, and scheduling of members for Care Managers.
• Assist with mailing educational materials, consent forms or other documents to members 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 with pulling Care Gap/Recommended Actions/High Risk reports.
• Access multiple EHRs 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.

Skills

Health care experience

Medical terminology

MS Office

Patient data systems

Organizational skills

Time management

Diversity awareness

Bilingual

Education

High school diploma / GED

Health-related degree preferred

Tools

MS Office suite

Job description

Community Care of North Carolina Inc is seeking a Member Care Coordinator to support the multi-disciplinary Care Management team. This non-clinician role focuses on closing care gaps, reducing hospitalizations, and improving access to resources across North Carolina.

You may work remotely within regions or on-site at CCPN practices. The position emphasizes referrals, member outreach, care navigation, and collaboration with providers, while adhering to privacy and security policies.