Clinical Administrator Jobs

Remote, but most be located in North Carolina

-Assigns and reassigns members to appropriate Care Manager under the direction of the Care Management Supervisor

-Monitors member list routinely to assure accurate assignment of all members

-Tracks Nursing Facility?and Inpatient census data via the?Blended Census Reporting Tool (BCRT)

-Communicates member Inpatient status to the assigned Care Manager

-Updates Member demographic and placement?changes in CM system

-Assists with administrative/enrollment activities for special programs e.g., disease management, complex case management, behavioral health referrals

Manages incoming communication calls/fax/email/tasking group- members/providers

-Assists with outgoing communication (calls/fax/email)

-Distribute service plans/plan of care, other communication to members/providers

-Posts member related documents to electronic filing system (shared drive/SharePoint)

-Documents all member related activities in care management platform

-Utilizes plan software to generate care management reports

-Performs other duties/projects as assigned

Required Qualifications:

-High School Diploma / GED or higher

-2+ years of experience working directly with community members, health care providers, and coordinating services related to physical healthcare, behavioral healthcare, pharmacy and/or social determinants of health

-2+ years of experience working in electronic health systems

-Solid knowledge of local and community-based social service organizations

-Proficiency in MS Office ? Word, Excel, and PowerPoint (ability to create, edit, sort, and send correspondences, spreadsheets, and presentations)

-Excellent written and verbal communication skills

-Ability to work Monday - Friday, 8-hour shifts during core business hours of 8AM ? 5PM