Care Coordinator II

Immediate need for a talented Care Coordinator II. This is a 06+ Months Contract opportunity with long-term potential and is located in Tampa, FL (Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID:25-64597

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:

• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate.
• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed.
• Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan.
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service.
• May support performing service assessments/screenings for members and documenting the member’s care needs.
• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed.
• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards.
• Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager.
• Provide education on benefits and resources available.
• Performs other duties as assigned.
• Complies with all policies and standards.
• This person will be completing outbound quarterly calls to members to conduct follow up questions.
• Will be assigned cases per month.
• Must be willing to complete research – such as identifying member information, connecting with providers, etc.
• 3 attempts per members, (Day 1, Day 2, Day 3) – based on if contact has been completed or not, new hire would then connect with PCP to ensure they have the correct contact information.
• There may be some stretch assignments that may be aligned based on volume.
• Team expectation to conduct 50-75 calls per day.
• Will be required to submit a daily report outlining their production for the day (through Outlook).

Key Requirements and Technology Experience:

• Skills-2+ years in healthcare / managed care background, High Volume Calling (Inbound / Outbound) and Independent Work Ethic – Understanding and Respecting the Remote Work Environment.
• Requires a High School diploma or GED.
• 2+ years in healthcare / managed care background
• Must be comfortable completing outbound / inbound calling
• Looking for someone who can handle HIGH VOLUME calling – doctors office, front desk does not truly apply
• General Technology experience - Excel, Outlook, Word, TEAMS.
• Bilingual (Spanish, or Creole,)
• Previous work from home experience.
• Multi-task being able to complete calls and takes notes simultaneously.
• Must understand that this role is remote but with that they must still present professional on calls (attire, personal appearance).
• This person will be dealing with confidential medical information – the team is really looking for someone who has an office environment established where they will have a productive work environment.

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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