• Complete individualized patient care plans and perform care management and care coordination services using Ennoble Care’s electronic medical record system • Frequent contact with patients to provide care coordination, support, and manage compliance with the care management programs to increase positive outcomes • Document all client communications (verbal or written) accurately • Communication to and from Primary Care Clinician or designee regarding patient emergent needs and/or life-threatening episodes and to ensure comprehensive care plans are complete and accurate • Keep Team Supervisor informed of all issues pertinent to the care plan process and any known or perceived issues • Demonstrate ability to work with various cross-organizational areas to meet the needs of Ennoble Care’s patients, their family members, and partner facilities • Become skilled at using technology including secure email, telephone system, electronic medical records, etc. • Adherence to documentation protocols and best practices for daily work logs, escalation of client issues, and internal communications • Excellent customer service skills demonstrated by positive feedback from customers and patients • Contribute as a positive member of the department by supporting all members of the team in a productive and constructive manner

• Reviews remote monitoring software daily for transmission data and alerts • Identifies ALERTS that require immediate attention and notifies clinical staff • Performs remote device interrogation and/or follow up • Documents appropriately in database regarding patient remotes • Enters findings and appropriate communication contact per Clinic Management protocol • Coordinates all device monitoring programs such as Merlin.net, CareLink, Biotronik and Latitude • Uploads and reviews daily CIED reports per protocols • Maintain knowledge of new developments in device technology • Be a resource for remote device management for the practice physicians and clinical staff • Responsible for contributing to company oversight and information security functions as outlined in the employee handbook under ‘Remote Employee HIPAA Guidelines • Resolves issues appropriate to position.

• Conduct high-volume outbound telephone outreach to prospective CalAIM members identified through health plan referrals, community referrals, and internal lead lists. • Explain WEA services, Enhanced Care Management (ECM), and Community Supports programs to eligible individuals. • Build rapport and engage individuals who may be hesitant or difficult to reach. • Screen potential participants for program eligibility and interest. • Schedule enrollment appointments and coordinate warm handoffs to Care Managers and other clinical team members. • Document all outreach activities, patient interactions, and enrollment outcomes accurately in designated systems. • Maintain productivity standards related to outreach volume, contact rates, and enrollment goals. • Follow established workflows, scripts, and compliance requirements regarding patient communication. • Collaborate with supervisors and program staff to improve outreach effectiveness and patient engagement. • Maintain confidentiality and comply with HIPAA and all applicable privacy regulations.