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Job Requirements of Care Management Support Coordinator II:
Key Responsibilities:
- Hours: 8:00 am to 5:00 pm Mon- Fri CST Time zone OT is not required .
- 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.
- Story Behind the Need – Business Group & Key Projects
- Preform outbound outreach to members for educational/ informational calls .
- Calls are documented and placed on a spreadsheet .
- Team provides education and information to vendors .
- Update daily corrections on the SharePoint site.
- Review emails.
- 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 .
- New hire will start with 15 daily metrics for the first 30 days.
- The following month it will go up to 20 daily metrics. By the 90th day PC should be completing 25 daily metrics or greater.
Key Requirements and Technology Experience:
- Key Skills:Admin assistant, Medical terminology, Type 50 wpm, Bilingual, administrative care management .
- Requires a High School diploma or GED .
- Requires 1 – 2 years of related experience.
- Type 50 wpm .
- Basic computer knowledge .
- Medical terminology .
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.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy
Do you meet the requirements for this job?
Care Management Support Coordinator II
Immediate need for a talented Care Management Support Coordinator II. This is a 12+months contract opportunity with long-term potential and is located in Texas (Remote) . Please review the job description below and contact me ASAP if you are interested.
Job ID:25-84992
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).
Job Requirements:
Key Responsibilities:
- Hours: 8:00 am to 5:00 pm Mon- Fri CST Time zone OT is not required .
- 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.
- Story Behind the Need – Business Group & Key Projects
- Preform outbound outreach to members for educational/ informational calls .
- Calls are documented and placed on a spreadsheet .
- Team provides education and information to vendors .
- Update daily corrections on the SharePoint site.
- Review emails.
- 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 .
- New hire will start with 15 daily metrics for the first 30 days.
- The following month it will go up to 20 daily metrics. By the 90th day PC should be completing 25 daily metrics or greater.
Key Requirements and Technology Experience:
- Key Skills:Admin assistant, Medical terminology, Type 50 wpm, Bilingual, administrative care management .
- Requires a High School diploma or GED .
- Requires 1 – 2 years of related experience.
- Type 50 wpm .
- Basic computer knowledge .
- Medical terminology .
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.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy