Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II . This is a 06+months contract opportunity with long-term potential and is located in US(Remote {PST}). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-67379

Pay Range: $23 - $24/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: 7 am – 4 pm PST/8 am – 5 pm PST. Needs to be available for weekend work as needed. OT not required.
• Breaks and lunches are scheduled due to working in a live phone queue call center environment.
• Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services.
• Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
• 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

Key Requirements and Technology Experience: 

• Key Skills; Call Center, Scheduling, Healthcare    
• Software Skills Required:    
• Microsoft Office (Outlook)
• Requires 1 – 2 years of related experience - 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
• Ability to work from home, fast paced work environment, working cross-functionally with MD and clinical team., improving provider experience, and helping ensure that member’s receive needed services.
• Scheduling Experience
• Critical thinking skills, takes feedback well, adaptability
• Avg call handle time 7.5 min, avg hold time 1.5 min, calls are audited for quality, 90% service levels
• 100% - 95% audit scores, 20-40 calls/day
• previous p2p (peer to peer) experience
• High school diploma or equivalent

Our client is a leading Financial 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, color, 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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