Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II  . This is a 03+ Months Contract to Hire opportunity with long-term potential and is located in U.S(Remote - MST ). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:25-66368 
 
Pay Range: $22 - $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:

• 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.
• Operational expectations – 30 new cases, 10 CM referrals and call volume over 50 calls a day.
• Metrics – engagement rate, decline rate, and compliance.

Key Requirements and Technology Experience:

• Key Skills:Call Center , Outreach Members & Providers , Sales .
• Must haves: Call center.
• 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.
• Nice to haves: Healthcare insurance history, sales experience.
• Requires a High School Diploma, Bachelor’s Degree, etc.

Our client is a leading Healthcatr 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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