CENTERLIGHT

• Manage a high volume of inbound and outbound calls in a timely and professional manner. • Provide exceptional customer service and assist patients with accurate information regarding services. • Schedule patient appointments using the organization's electronic medical record (EMR) system. • Educate patients on healthcare services, office policies, and available resources. • Document all patient interactions and maintain accurate call records in the appropriate systems. • Collaborate with clinical staff, administrative teams, and other departments to ensure a seamless patient experience. • Follow HIPAA regulations to maintain patient confidentiality and data security.

• The RN Care Manager – Complex Care & High Utilizer Management is responsible for the comprehensive management of participants who exhibit high utilization of outpatient services. • Provide advanced clinical oversight, risk stratification, and proactive outreach to ensure participants receive timely, coordinated, and appropriate care. • Collaborate closely with medical providers, behavioral health specialists, and operational leaders to develop and implement strategies that reduce avoidable utilization. • Deliver ongoing care, support, and health education to participants with chronic illnesses. • Oversee the referral process for high-risk and complex participants to ensure clinical appropriateness and timeliness. • Monitor utilization patterns and proactively engage participants to reduce unnecessary service use.

• Manage a high volume of inbound and outbound calls • Provide exceptional customer service • Schedule patient appointments accurately using the organization's EMR system • Assist patients in rescheduling or canceling appointments • Verify and update patient demographic and insurance information • Document all patient interactions and maintain accurate call records • Collaborate with clinical staff and other departments to ensure a seamless patient experience • Follow HIPAA regulations to maintain patient confidentiality and data security

• Assist with scheduling in-house and external medical appointments • Coordinate necessary transportation and handle customer service issues • Make visit verification calls to confirm appointments • Communicate effectively with all participants to relay appointment information