Care Management Support Coordinator

Immediate need for a talented Care Management Support Coordinator. This is a 03+months Contract to Hire opportunity with long-term potential and is located in DE, PA, NJ, MD(REMOTE ). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-83919

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: 8:00 AM - 5:00 PM EST, possibility of overtime according to business needs
• 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 document member records following current state and regulatory guidelines.
• Outreach to complex or high-risk members, members who have called into Member Services requesting additional assistance, members who have open care gaps, and any additional requests to support our members and our business.
• Daily outreach calls to members, providers, and pharmacies.
• Assistance with appointment linkage, community resource connections, and social determinants of health needs.
• Identify members without a PCP and assist with obtaining one. Screen members for eligibility to enroll in Care Coordination services.
• Enter assessments and notes into the charting system.
• Emails/chats/calls
• Great team camaraderie
•  50+ inbound and outbound calls per day, reaching out to the members assigned. Metrics must be met weekly to meet the expectations that are set by the department. 
•  Training through online modules, 4 to 6 weeks of training, and training with the hiring manager and department for the role they are hired to do as a program coordinator.

Key Requirements and Technology Experience: 

• key Skills; Knowledge of medical terminology
• Patient Assessment
• Communication Skills
• Computer Literacy
• 2-3 years of RECENT EXPERIENCE -
• Managed Care/Medical Office setting with demonstration of medical administration duties with high call volume; 50+ inbound/outbound calls/day.
• Member or patient-facing experience.
• Knowledge of medical terminology, Patient Assessment, Communication & Computer Literacy
• Disqualifiers: No experience in a healthcare setting, medical setting, or managed care setting.

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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