Published: August 6, 2024 - The Community Relations Representative backs up the Client Case Manager by following up with weekly reports from the Program Director and conducting intakes and 6-month visits for Medicaid clients. This role includes providing verbal coaching to Direct Care Providers, informing Human Resources of corrective actions, and maintaining the scheduling message phone for off-hours. Additionally, the representative is tasked with submitting Critical Incident Reports, negotiating Private Pay rates, coordinating insurance authorizations, and responding to urgent Private Pay scheduling issues while prioritizing client service based on authorizations or Care Plans.
Tips for Community Relations Representative Skills and Responsibilities on a Resume
1. Community Relations Representative, Harmony Health Network, Springfield, IL
Job Summary:
- Provides general education and information about home health, hospice, and personal care services provided by Amedisys
- Greets visitors, ascertains nature of business, provides information, or connects visitors to the appropriate contact within Amedisys
- Answer questions about Amedisys services to other health care providers within the clinic and route these health care providers to the appropriate contact within Amedisys to answer their questions
- Investigates, addresses, and works to resolve questions and concerns from customers
- Processes orders, 485s, and face-to-face documentation.
- Ensures all documents are uploaded to the EMR on a timely basis
- Manages and processes documentation for the care center including orders, paper visit notes, discharge, transfer, and episode summaries and medication profiles.
- Responsible for the security and maintenance of records
- Take responsibility for performing billing functions
- Observe confidentiality, attendance, and attire policies at all times
Skills on Resume:
- General Education and Information (Soft Skills)
- Visitor Management (Soft Skills)
- Healthcare Provider Communication (Soft Skills)
- Customer Resolution (Soft Skills)
- Order Processing (Hard Skills)
- EMR Documentation (Hard Skills)
- Record Management (Hard Skills)
- Billing Functions (Hard Skills)
2. Community Relations Representative, Greenfield Solutions, Tampa, FL
Job Summary:
- Acts as service representative for assigned projects and a resource to membership and community resource center
- Ensures consistent compliance with all state, federal, and company-specific requirements.
- Establish and maintain positive relationships with community organizations, provider offices, and faith-based organizations, and perform activities to enhance presence in the community.
- Identify and collect educational material on community networks and advocacy groups with similar missions and values and communicate the information to management.
- Provide telephonic assistance, outreach and/or guidance to members and potential members regarding benefit and enrollment questions, and/or assist with any social service needs.
- Complies with all other related policies, procedures, and requests
- Demonstrates interpersonal understanding
- Completes work with accuracy and minimal supervision within time frames
- Monitor metrics and provide monthly reports
- Presentation development, editing support for mass comms efforts
Skills on Resume:
- Service Representation (Soft Skills)
- Compliance Knowledge (Hard Skills)
- Relationship Building (Soft Skills)
- Community Outreach (Soft Skills)
- Telephonic Assistance (Soft Skills)
- Policy Adherence (Hard Skills)
- Interpersonal Understanding (Soft Skills)
- Accuracy and Time Management (Hard Skills)
3. Community Relations Representative, Blue Ridge Industries, Asheville, NC
Job Summary:
- Develop a local and national-focused Community Relations Program to promote the Stewart brand as a leader in philanthropy and volunteerism in communities.
- Develop detailed event project plans, including timelines, budgets and communications, for Stewart employees.
- Manage the Stewart Title Foundation programs and budget.
- Build relationships and serve as a liaison between Stewart and charitable organizations across multiple states where Stewart has a presence
- Develop written content and seek opportunities to promote Stewart community efforts through social media, website, email, and other channels.
- Work with Communications and Marketing teams to develop promotional material and ensure consistency and reach of messages.
- Manage the coordination, promotion, and execution of special events
- Recruit, coordinate and manage volunteers and potential on-site activities,
- Support branch offices in local community service efforts
- Communicate internally to Stewart employees across the enterprise.
Skills on Resume:
- Community Relations Program Development (Soft Skills)
- Event Project Planning (Hard Skills)
- Program and Budget Management (Hard Skills)
- Relationship Building (Soft Skills)
- Content Development (Hard Skills)
- Collaboration with Marketing (Soft Skills)
- Event Coordination (Hard Skills)
- Volunteer Management (Soft Skills)
4. Community Relations Representative, SunTech Innovations, Scottsdale, AZ
Job Summary:
- Responsible for developing and maintaining new contacts and/or partnerships in the community.
- Manage day-to-day community activities including recurring sales camps, and large events.
- Develops and executes community relations and lead generation strategies.
- Document and manage community contacts and sales events using the Quickbase platform.
- Identify, develop and build relationships with community organizations, provider offices and faith-based organizations
- Organize activities including sales events to enhance Bright Health's presence in the community
- Assist members and potential members with benefit and/or enrollment inquiries
- Conducts presentations to increase effectiveness in establishing rapport, assessing individual needs, and communicating product/benefit features and differences
- Contribute story ideas and content weekly for the internal newsletter
- Develop engagement plans to increase volunteerism and participation throughout field and home offices
Skills on Resume:
- Community Partnership Development (Soft Skills)
- Event Management (Hard Skills)
- Community Relations Strategy (Soft Skills)
- Quickbase Documentation (Hard Skills)
- Relationship Building (Soft Skills)
- Sales Event Organization (Hard Skills)
- Member Assistance (Soft Skills)
- Presentation Skills (Soft Skills)
5. Community Relations Representative, Urban Impact Group, Pittsburgh, PA
Job Summary:
- Facilitating and coordinating services to meet the needs of Private Pay clients.
- Securing new clients and maintaining those relationships, working with insurance companies for payment authorization, and recruiting, training and retaining caregivers.
- Providing oversight of Private Pay care plans, intakes, recruitment, retainment, and maintenance.
- Verify insurance authorizations and renewals.
- Conducting service inquiries, intakes, and renewals, and ensuring accurate and complete documents.
- Checking prior authorizations for accuracy and building recurring schedules.
- Support and train Service Admin IIs for scheduling to meet required Trinion care plan for Private Pay clients.
- Maintaining and meeting all required reporting standards for all client records to demonstrate and document compliance with all regulatory, health and safety requirements, and internal policies.
- Creating accurate and timely notes documenting any caregiver or client concerns to maintain a complete client service record.
- Conducting timesheet reviews - reviewing time sheets from field staff for accuracy and taking appropriate action to correct any deficiencies.
Skills on Resume:
- Service Coordination (Soft Skills)
- Client Relationship Management (Soft Skills)
- Care Plan Oversight (Hard Skills)
- Insurance Authorization Verification (Hard Skills)
- Service Inquiry Handling (Soft Skills)
- Schedule Management (Hard Skills)
- Service Admin Training (Soft Skills)
- Regulatory Compliance Documentation (Hard Skills)
6. Community Relations Representative, ClearPath Enterprises, Portland, OR
Job Summary:
- Document corrective notices to field staff regarding scheduling issues and concerns.
- Implementing quality improvement activities
- Re-educate clients and/or caregivers to ensure compliance with Trinion, State, and Federal regulations, standards, and/or best practices.
- Responding to Adult Protective Services and Office of Children's Services inquiries about a client.
- Maintain Private Pay on-call messaging phone for off hours.
- Attending association meetings, webinars, and training provided by Trinion and other entities, approved and appropriate to essential job functions and professional development.
- Ensure HIPAA compliance in all aspects of Service Delivery.
- Work with the Internal Communications team to develop monthly content calendars and promote upcoming events and programs.
- Foster the development of a community between leaders and employees that cultivates relationships and increases trust and accountability
- Enable and influence engagement among employees, which contributes to increased innovation and productivity
Skills on Resume:
- Corrective Notice Documentation (Hard Skills)
- Quality Improvement Activities (Soft Skills)
- Client and Caregiver Re-education (Soft Skills)
- APS and OCS Inquiry Response (Soft Skills)
- On-call Messaging Management (Hard Skills)
- Professional Development Attendance (Soft Skills)
- HIPAA Compliance (Hard Skills)
- Internal Communications Collaboration (Soft Skills)
7. Community Relations Representative, BrightFuture Inc., Fort Worth, TX
Job Summary:
- Communicates Health Benefits plans and services to community members by being well-educated and informed of the plan.
- Supports a regional Health Benefits community engagement strategy involving all communities in the area.
- Facilitates proactive engagement with community members at formal and informal gatherings.
- Develops trusted relationships with community engagement coordinators to ensure a common understanding of Health Benefits objectives throughout the organization, including regular communications through email, meetings and attending events and workshops.
- Ensures a two-way dialogue between Health Benefits and community members, by being a key contact to listen to the concerns of regional community members and provides recommendations to achieve better health and wellness outcomes that are in line with Health Benefits engagement strategy.
- Facilitates client engagement surveys and focus groups to gather feedback.
- Consolidates and analyzes engagement feedback/information to provide regionalized recommendations to the Community Relations Manager.
- Supports the implementation of solutions by being a change champion to facilitate acceptance and understanding of Health Benefits initiatives.
- Identifies communication opportunities and develops material in collaboration with the Health Benefits, Regional Team and the Communications & Public Relations team.
- Deliver communications to the communities through events, presentations, information booths, and webinars.
Skills on Resume:
- Health Benefits Communication (Soft Skills)
- Community Engagement Strategy Support (Soft Skills)
- Proactive Community Engagement (Soft Skills)
- Relationship Building (Soft Skills)
- Two-way Dialogue Facilitation (Soft Skills)
- Client Engagement Survey Facilitation (Hard Skills)
- Feedback Analysis (Hard Skills)
- Change Management Support (Soft Skills)
8. Community Relations Representative, Community Connect Services, Denver, CO
Job Summary:
- Backup For Client Case Manager Responsibilities
- Following up with weekly reports from the Program Director.
- Conducting Intakes and 6-month visits for Medicaid Clients.
- Verbal coaching to Direct Care Providers regarding scheduling issues and concerns as a backup to Service Admin IIs.
- Informing Human Resources of corrective actions, and providing complete documentation.
- Maintaining the scheduling message phone for off hours and rotating schedule as a backup to Service Admin IIs.
- Submission of Critical Incident Reports.
- Authority to negotiate Private Pay rates within company guidelines that meet clients' needs.
- Coordinate Private Pay insurance authorizations with Trinion and outside entities.
- Respond to urgent issues regarding Private Pay schedules.
- Prioritize scheduling of service for clients based on Insurance authorizations or Trinion Care Plans.
- Makes recommendations on pay evaluations and disciplinary actions for Direct Care Providers.
Skills on Resume:
- Client Case Management Backup (Soft Skills)
- Report Follow-up (Hard Skills)
- Medicaid Client Intake (Hard Skills)
- Verbal Coaching (Soft Skills)
- Corrective Action Documentation (Hard Skills)
- Off-hours Scheduling Management (Hard Skills)
- Critical Incident Report Submission (Hard Skills)
- Private Pay Rate Negotiation (Soft Skills)