Care Management Support Coordinator

Immediate need for a talented Care Management Support Coordinator. This is a 03+ months contract opportunity with long-term potential and is located in EST/CST (Remote). Please review the job description below and contact me ASAP if you are interested.
 
Job ID: 25-68960
 
Pay Range: $22 - $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: 

• As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience.
• Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me.
  https://hire.glider.ai/connect/85157957
• Shift Schedule: 8 AM – 5PM OR 8:30 AM - 5:30 PM OR 9 AM – 6 PM
• Hybrid between inbound/outbound calls and coordination. Data based/computer related work. Look up providers in portal and make calls
• 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 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 maintain 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
• Comply with all policies and standards

 
Key Requirements and Technology Experience:  

• Key skills; Bilingual (Spanish)
• Experience of talking to members and providers
• Experience of scheduling appointments
• 2+ years medical background
• Bi-lingual (Spanish)
• Flexibility
• Customer Service Experience
• High School diploma/GED
• Monthly metrics, 20-30 outbound calls 50% engagement rate

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.

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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