Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II. This is a 05+ Months Contract opportunity with long-term potential and is located in U.S.(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-63444

Pay Range: $21 - $22/hour.  Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:

• Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service.
• Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service.
• May apply working knowledge of assigned health plan(s) activities and resources.
• Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols.
• Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship.
• Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed.
• Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs.
• Performs other duties as assigned.
• Complies with all policies and standards.
• Support Coordinators are assigned at least 30 members daily to outreach.
• Support Coordinators will do 1 call attempt per day to the number listed for member.  
• If the number is invalid, Support Coordinators will also make a call attempt to PCP to attempt to get a valid number.  
• If member is reached, PCP will review CareGaps with member, go over Health Risk
• Assessment if needed, offer to assist with scheduling appointment and confirm member has no other questions/needs. 
• Support Coordinators will continue to call member four more times, four different times of day if member is not reached on the first outreach.

Key Requirements and Technology Experience:

• Skills-Customer service, Excel/Outlook and Medical terminology.
• At least 18 months of experience with a health plan and /or health related industry.
• 30 new members per day, 125 per week and 600 per month
• Audit score of 90% or better
• Meet 10 day TAT
• Use proper note documentation
• 80-100 Calls per day
• High School Diploma or GED, no exceptions (Candidate must have verifiable education) 

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
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