Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II.This is a 04+ months contract opportunity with long-term potential and is located in Delaware, Pennsylvania, New Jersey & Maryland (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-84226

Pay Range: $21.50 - $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:

• Shift : 8:00 AM – 5:00 PM (No OT without manager approval)
• Requesting as a business need to add support to the team who serve our member population.
• Contract requirements are in place to ensure we are meeting the needs of our members.
• Our team outreaches every new member of the client, complex or high-risk members, members who have called into Member Services requesting additional assistance, members who have open care gaps, and any additional requests to support our members and our business.
• Daily outreach calls to members, providers, and pharmacies.
• Assistance with appointment linkage, community resource connections, social determinants of health needs.
• Identify members without a PCP and assist with obtaining one.
• Screen members for eligibility to enrol in Care Coordination services.
• Enter assessments and notes into charting system.

 
Key Requirements and Technology Experience:  

• Key skills; Customer Service/Call center, Managed Care & Computer Literacy.  
• High School diploma or equivalent.
• 2-3 years in managed care setting, medical office, or equivalent.
• Member or patient facing experience.
• Experience with high call volume; 50+ inbound/outbound calls/daily.
• Communication .
• Patient Assessment/Screening 2+ years.
• Computer Literacy/EMR experience 2+ years.
• Knowledge of medical terminology.
• No experience in healthcare setting, medical setting, or managed care setting.
• Ability to meet performance metrics and expectations of role.
• Microsoft Teams.

Our client is a leading IT 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.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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