Care Management Support Coordinator II

Immediate need for a talented Care Management Support Coordinator II. This is a 05+ months contract opportunity with long-term potential and is located in U.S(Remote; PST). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-81442

Pay Range: $20 - $22/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: 8:00 AM – 5:00 PM PST (No Overtime)
• Make outbound calls daily to remind members about Care Gaps, i.e., preventative visits, and to complete the Health Risk Assessment if it is due.
• We reach out to Medicare members, mostly those who are over 65 or have Medicare due to health issues
• Assigned at least 30 members daily to outreach, SC will do 1 call attempt per day to the # listed for the member.  If # is invalid, SC will also make a call attempt to PCP to attempt to get a valid #.  If a member is reached, PCP will review Care Gaps with a member, go over the Health Risk Assessment if needed, offer to assist with scheduling an appointment, and confirm the member has no other questions/needs. 
• SC will continue to call the member four more times, four different times of day, if the member is not reached on the first outreach. 
• Performance indicators:
• 30 new members per day, 125 per week, and 600 per month
• Audit score of 90% or better
• Meet 10-day TAT
• Use proper note documentation
• 80-100 Calls per day
• Team culture:
• Supportive Team culture with daily chat, monthly online meetings, and consistent goals and feedback
• Great entry-level job with opportunities to move up for motivated individuals after 1 year as a full-time employee

Key Requirements and Technology Experience:  

• Key skills; Healthplan or Health/Medical industry
• High-volume call center
• Knowledge of Medicare/Medicaid, Medical Terminology, MS Excel/Outlook, & Customer Service
• 2+ years of RECENT Member Services in a Healthplan or Health-related industry. Must be comfortable with high-volume calls in a fast-paced environment.
• Knowledge of Medicare/Medicaid, Medical Terminology, MS Excel/Outlook, & Customer Service is REQUIRED
• Strong Typing Skills 40 WPM, Strong Computer and MS Office Skills. Multitasking/Interacting using multiple systems/programs simultaneously.
• Due to HIPAA, a reliable home internet connection (hard-wired) with a dedicated workspace is required.
• Proof of a High School Diploma/GED or higher is REQUIRED. Must have an on-hand copy of HSD/GED/Transcript.
• Attendance/Reliability is mandatory - no time off allowed first 90 days.
• Disqualifiers: Management has requested no CA candidates

 

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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