Care Management Support Coordinator II

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

Job ID: 25-84403

Pay Range: $17.50 - $18.50/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:

• Working Hours: 8 am – 5pm
• Training: Training will be in the office, then the position is remote
• 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 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
• Daily schedule & OT expectations
• Individual will be contacting member telephonically – like working in a call center – making outbound calls and receiving inbound call 
• Individual will be contacting member telephonically – like working in a call center – making outbound calls and receiving inbound call 
• Individual will be working with a highly motivated and goal oriented team in order to ensure all members are addressed in accordance with compliance guidelines.

 
Key Requirements and Technology Experience:  

• Key skills; Inbound call or outbound calls or member service
• Requires a High School diploma or GED
• Requires 1 – 2 years of related experience
• For Health Plan - All interactions with members are done telephonically
• Must haves: Team player attitude, adaptability to constant change
• Nice to haves: Call center experience
• Disqualifiers: Inability to work well with others
• Performance indicators: High performers that strive to do their best daily
• Customer Service
• Multitasking
• Adaptability to Change
• Preferred: Bilingual

 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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