Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II (Bilingual in Spanish). This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote; EST, CST). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-71650
 
Pay Range: $24 - $25/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: 

• Assist in activities related to the medical and psychological aspects of utilization and coordinated care.
• Telephonic outreach attempts to members assigned each day.
• Consistently updating excel spreadsheets with member assignments listed.
• Documenting each phone call.
• High level of Teams and emails with supervisor.
• Very supportive and works closely as a team and with supervisors.
• High volume calls with audit score of 90% minimum.
• 80-120 calls/day to Medicare population.
• 100% compliance required of all assigned members.
• Completion of 600 members/month requirement (30 new members/daily assigned).
• Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service.
• 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.
• 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.

Key Requirements and Technology Experience:  

• 2 Years Customer Service experience is required.
• Great communication skills, medical terminology, time management, and organization skills.
• Moderate Computer Skills and Microsoft Office.
• 2-3 years managed care setting, medical office/facility setting with demonstration of medical admin duties.
• Ability to navigate computer systems and beginner Excel Skills.
• Quality phone service.
• Ability to work in a team/help other.
• Professional spoken communication skills.
• Good Typing is required.
• Ability to adapt to change.

 

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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