CommunicationCritical ThinkingTime ManagementCollaborationRemote Work
About this role
Role Overview
Coordinate and complete Health Risk Assessments (HRAs) through telephone outreach.
Collect, review, and document patient/member health history, medications, chronic conditions, social determinants of health, and preventive care needs.
Maintain accurate and timely documentation in electronic health record (EHR) systems and internal databases.
Support care coordination efforts by scheduling Annual Wellness Visits (AWVs).
Monitor and track HRA completion metrics, productivity goals, and quality standards (expected completion of 7 HRAs per day).
Ensure compliance with HIPAA, CMS, Medicare, and organizational policies and procedures.
Collaborate with interdisciplinary teams including nurses, providers, case managers, and quality improvement staff.
Educate patients/members on available healthcare resources, wellness programs, and preventive services.
Requirements
Active, unencumbered clinical license/certification (e.g., LPN/RN or CMA/RMA) required.
Active Basic Life Support (BLS) certification required
Bilingual in both English and Spanish
Proven ability to manage high-volume telephonic outreach and meet daily productivity goals (e.g., 7 HRAs per day).
Strong knowledge base in health risk factors, chronic conditions, and social determinants of health (SDOH).
High proficiency in Electronic Health Record (EHR) systems and maintaining timely, accurate documentation.
Excellent organizational, time management, and critical thinking skills.
Thorough understanding of HIPAA, CMS, and Medicare compliance standards.
Excellent verbal communication skills for patient education and collaboration with clinical teams.
Benefits
Remote work opportunity
Monday–Friday schedule
Performance-based bonus opportunities
Collaborative healthcare team environment
Ongoing professional development opportunities
Opportunity to make a direct impact on patient outcomes