Position Summary The Member Care Coordinator 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 by meeting key performance indicators (closing care gaps, reducing hospitalizations, readmissions, ED (Emergency Department) utilization, and PMPM costs) and other organizational mandates as designated. The Member Care Coordinator may work remotely within regions to cover the needs across the state and/or may work on site at CCPN (Community Care Physician Network) practices. Member Care Coordinators may directly assist members by increasing their ability to improve their health outcomes. They also help design and implement systems to ensure the smooth operation of office functions and to support the Care Team. Member Care Coordinators may also work directly with assigned practices to assist them in addressing care gap closure in collaboration with the Provider Relations Representative/QI Team. Essential Functions - 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 with pulling Care Gap/Recommended Actions/High Risk reports. - Assist in addressing Social Determinants of Health as needed. - Access multiple EHRs (electronic health records) to obtain and upload documents into the care management platform. - Access to 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. Qualifications - High school diploma or GED required - 2-4 years minimum experience in a health care setting required - 2 or 4-year degree in health-related field preferred - Bilingual preferred Knowledge, Skills, and Abilities - 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 systems - 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 Working Conditions - The job environment is primarily an office or 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. - Routinely there may be some minor physical inconveniences or discomforts in the work setting, 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 as high volume, repetitive work is an expectation. - Travel may be required within the region and/or the State.

Role Description Assurer, en complémentarité et transparence avec la cheffe de délégation, l'interface terrain/DDTM ; vous vous répartirez la tâche pour contribuer à la présence de la DDTM sur le territoire. Porter les objectifs de transition écologique des territoires pour dépasser les contradictions apparentes. Identifier les questions sensibles, anticiper les conflits pour proposer et organiser des réunions de concertation, des notes... - Accompagnement des collectivités : les inciter à articuler leurs projets, à formuler une stratégie. - Contractualisation Etat/collectivités : accompagnement au Contrat de Relance et de Transition Ecologique. - Grands projets du centre Manche : copiloter le projet partenarial d'aménagement "entre 2 havres" dans une stratégie de recomposition littorale. - Autres projets liés à l'énergie nucléaire et éolien en mer. L'ensemble de ces missions nécessite une collaboration avec les services métiers de la DDTM, DREAL, ministère, conseil de l'Etat, agences... Affectation du poste : Coutances/Saint-Lô Qualifications - Connaissance générale des grandes thématiques de l'aménagement (env, aménagmt, mobilité, habitat, risques, planif...) - Maîtrise des règles de fonctionnement des collectivités territoriales et des services de l'État. - Présenter une expérience dans le domaine de l'aménagement du territoire. - Connaissance du territoire, des acteurs et des enjeux (à acquérir). Requirements - Capacité d'analyse, de synthèse et d'argumentation. - Formuler des propositions réalistes au vu des jeux et compétences d'acteurs et des financements éventuellement nécessaires. - Prise d'initiatives. - Savoir rédiger des notes, courriels. - Utilisation courante des outils informatique/bureautique. - Compétence cartographique souhaitable. Benefits - Autonomie tout en rendant compte, rigueur et sens de l'organisation. - Aptitude à communiquer efficacement y compris à l'oral, sens de la pédagogie. - Travail en équipe et en réseau. - Diplomatie et bienveillance. - Être à l'écoute.

Job Description Title: Triage Team Lead Location: Remote Employment Type: Full-time Exempt Position Overview: The Triage Team Lead is responsible for overseeing daily intake operations for FEDlogic’s employee-facing Triage Team. This role ensures that incoming consultation requests are reviewed timely, prioritized, documented, and routed to the appropriate Experts in compliance with FEDlogic standard processes. The Team Lead serves as the operational bridge between Services and Quality & Care Leadership; driving workflow efficiency, quality assurance, regulatory compliance, and continuous process improvement. This is a working-leader role: the Team Lead carries a case load while coaching staff, managing queues, escalating complex cases, and supporting system enhancements during FEDlogic’s CRM transformation (from Zendesk to Salesforce). Key Responsibilities: Operational Leadership - Supervise and support a team of Triage Specialists handling intake requests via phone, email, and ticket requests. - Monitor real-time queues, SLAs, turnaround times, and workload distribution. - Ensure timely assignment of cases to the correct Expert group (Medicaid, Medicare, SSI/SSDI, VA, RIB, CWC, etc.). - Serve as escalation point for complex triage matters, coordination of triage priorities, or urgent triage matters. - Partner with Workforce Management leadership on triage staff oversight and coverage schedules. Quality & Compliance - Enforce documentation standards, intake completeness, and HIPAA compliance. - Collaborate with Quality & Care to review trends, error rates, and coaching needs for triage staff. - Work with Leadership to implement corrective action plans for recurring intake issues. - Maintain policy adherence across all workstreams. - Support leadership on all ad hoc triage needs. Coaching & Development - Conduct side-by-sides, call monitoring, and ticket reviews. - Deliver real-time coaching and formal performance feedback to triage staff. - Participate in hiring, onboarding, and readiness certification for new Triage staff. - Identify high-potential staff for advancement into Expert roles. - Lead team huddles and knowledge refreshers. Systems & Process Ownership - Serve as Triage SME for Zendesk/Salesforce workflows, intake forms, routing logic, macros, and automation. - Partner with leadership and IT during testing, UAT, and rollout of new workflows. - Document SOPs, decision trees, and escalation pathways for leadership. - Identify bottlenecks and recommend efficiency improvements. Cross-Functional Partnership - Collaborate with Client Success on internal triage rules and communication protocols when needed. - Coordinate with Connecting with Care (CWC) on outreach workflows. - Escalate systemic issues to leadership with root-cause analysis and proposed solutions. Required Qualifications: - (For Internal Candidates only) 1 + year(s) experience in the Services Department performing triage ticket intake or consultations. - Strong knowledge of Medicare, Medicaid, SSI/SSDI, VA and employer-sponsored plans. - Experience managing queues and service level agreements (SLA) in Salesforce. - Experience writing standard operating procedures (SOP's) and desk guides - Strong documentation and analytical skills. - Ability to manage competing priorities in a high-volume environment. Preferred Qualifications: - Experience in benefits consulting, case management, healthcare or advocacy - Familiarity with employer group health plans. - Experience in HubSpot, Salesforce and Tableau. - Bilingual (Spanish/English) a plus. What we Offer: - Flexible remote work environment - Paid Time Off (PTO) plus all federal holidays off - Comprehensive benefits package with health, dental, vision insurance, group term life, short term disability, long term disability, voluntary life plans, paid maternity and paternity leave. Numerous supplemental plans to assist employees. - 401(k) with matching contributions. - Professional development opportunities. - Supportive and collaborative work environment. - Opportunity to be part of a rapidly growing company dedicated to making a difference in the lives of families. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Do you enjoy giving superior customer service over the phone, as well as working behind the scenes on a computer? Join our central call center team as a medical Scheduler! - Schedule appointments - Verify insurance - Route calls to the correct personnel - Multitask from multiple electronic clinical programs and websites Qualifications - Preferred experience in a medical office environment, call center, or graduate of a healthcare training program - HS Diploma, GED; or 1-3 months related healthcare experience - Exceptional customer service skills - Highly organized and detail oriented Requirements - Comfortable in a fast-paced environment Benefits - Health Insurance – medical, dental, and vision with HSA, FSA options - 401k - employer matching up to 4% - Life Insurance – employer paid & voluntary options - 8 paid holidays per year - Tiered PTO accrual 80 – 200 hours annually - Complimentary parking - Pet insurance voluntary option - Employee Assistance Program provided