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 McAllen, TX(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-82557

Pay Range: $16 - $17/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 

• Location: Remote but source from McAllen, TX 78501.
  During training period 3-4 weeks in person. After that remote but may have to go back to McAllen office upon business needs
• All interactions with members are done telephonically.
• 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"
• Health plan or business unit: Daily Team huddles
• Team culture: 1x week team meetings
• Surrounding team & key projects: 1 on 1 monthly/ bi monthly
• Purpose of this team
• Reason for the request: Training members that are transitioning ou
• Motivators for this need: Attendance for first 90 days is crucial no PTO
• Any additional upcoming hiring needs? No days of core training missed  
• Outreach to member providing education and training to care givers and members for transition Inbound and outbound calls 30-245 min calls

Key Requirements and Technology Experience:  

• Key skills; Member outreach, member service, outbound calls
• Microsoft Office
• 1 year of medical experience , be adaptable with a changing past, fast-paced multitasking
• Bilingual (Spanish) required
• High call volume experience.
• Previous appointment scheduling experience
• Most recent position should be health care related call center, please state if position was contract on resume, position longevity,
• Sales experience highly preferred ability to make sale pitch to existing members, inbound call center preferred,
• High School Diploma or GED required.
• Daily metrics
• Monthly audits for calls and performance
• Call to call turnaround time

 
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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