Health Concierge

Health Concierge at Community Care of North Carolina

The Health Concierge position is a non‑clinician role that works in collaboration with the Care Management staff and/or quality improvement staff to support the multi‑disciplinary team approach of patient care. The role is responsible for meeting key performance indicators such as closing care gaps, reducing hospitalizations, readmissions, ED utilization, and PMPM costs, as well as other organizational mandates as designated.

• Receive and document all referrals from various sources into the Care Management documentation platform.
• Outreach, engagement, and scheduling of members for Care Managers.
• Verify eligibility and demographic information.
• Complete appropriate screenings as needed.
• 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.
• Provide information for access and coordination of resources.
• Assist member with care coordination and health care system navigation.
• Provide culturally appropriate health education and information.
• Provide general education and social support.
• Advocate for members.
• 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 in pulling Care Gap/Recommended Actions/High Risk reports.
• Assist in addressing Social Determinants of Health as needed.
• Access multiple EHRs to obtain and upload documents into the care management platform.
• Access Hospital/Data or Electronic Medical Record system will be required, as necessary.
• Meet productivity and role expectations as defined.
• 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.
• Perform all other duties as requested.
• Attend departmental and corporate meetings, local and regional trainings, or other events as required.
• Understand and uphold CCNC goals, objectives, and standards.
• Travel using personal vehicle will be required within the region and/or the State.

• High school diploma or GED required.
• 2‑4 years minimum experience in a health care setting required.
• 2 or 4‑year degree in a health‑related field preferred.
• Maintain a valid driver’s license with current auto liability insurance.
• Knowledge of and experience working in patient or clinical data systems.
• Computer skills required, including various office software and the internet; experience with MS Office software preferred.
• Knowledge of state and federal benefits system.
• Excellent communication skills—oral and written.
• Proficient motivational interviewing skills.
• Organizational and time‑management skills.
• Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels.
• Knowledge of medical terminology.
• Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.
• Able to shift strategy or approach in response to the demands of a situation.

• The job environment is primarily a home environment.
• Multiple contacts are required with various members, providers, multi‑payer systems, and community partners to ensure coordination of services; exposure to general office, community, and household conditions, as well as communicable disease, could occur.
• Routines may involve minor physical inconveniences or discomforts, including sitting for moderate periods of time.
• Must be able to utilize office equipment, computer, keyboard, and phone with or without assistive devices.
• Repetitive wrist motion and occasional lifting/carrying of up to 25 pounds.
• The job environment can be intense with high volume, repetitive work expectations.
• Travel may be required within the region and/or the State.