Care Management Support Coordinator II

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

Job ID: 25-68614

Pay Range: $18 - $19/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:

• NOTE: May require coming into one of our five offices if there is ever a training or meeting that requires their presence. Therefore, they must be willing and able to get themselves to one of our offices in one of the following cities:
•  Tampa, FL
•  Charlotte, NC
•  Hazard, KY
• St. Louis, MO
• Tempe/Phoenix, AZ
• Shift: 10:30 AM – 7 PM EST (Mon-Fri)
• Operates as part of a cross-functional call center team which connects individuals to social service organizations.
• Program coordinators (PCs) perform a variety of roles such as: handling inbound/outbound phone calls, research and populate meaningful data into the team database, and performing organization audits to ensure the database is up to date
• Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service.
• 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.
• 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; Preferred 6 months of experience in Customer service, call center environment, social services organization.
• Experience in call center setting and being accountable to meeting call center metrics.
• 2+ years role in healthcare industry (i.e. medical office, medical assistant, medical customer assistance. etc.).
• Fluent in speaking and reading Spanish
• Quality phone service.
• Ability to work in a team/help other.
• Professional spoken communication skills.
• Good Typing is required.
• Ability to adapt to change.

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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