Care Coordinator II

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

Job ID: 25-83343

Pay Range: $19 - $20/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: 9:00 AM - 6:00 PM EST - Monday - Friday  
• Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners, and continuity of care/member satisfaction is achieved.
• Interacts with members by performing member outreach telephonically and documents the plan for care/services of activities.
• Provides outreach to members via phone 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 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 members’ 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 the benefits and resources available 
• 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.  

Key Requirements and Technology Experience: 

• Key Skills; High Volume Calling (Inbound/Outbound)
• Healthcare / Managed Care
• Bilingual (Spanish or Creole) 
• Knowledge of Medicare/Medicaid, Medical Terminology, MS Excel/Outlook, & Customer Service
• 2+ years of High Volume Calling (Inbound/Outbound) in healthcare / managed care background 
• Looking for someone who can handle HIGH VOLUME calling – doctor's office, front desk does not truly apply. Must be comfortable completing outbound/inbound calling  
• Bilingual (Spanish or Creole)   
• General Technology experience - Excel, Outlook, Word, TEAMS 
• Previous work-from-home experience 
• Independent Work Ethic – Understanding and Respecting the Remote Work Environment  
• 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.

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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