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Care Management Support Coordinator II

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Scheduling
  • Collaborative Communications
  • Administrative Functions
  • Communication
  • Time Management
  • Teamwork
  • Customer Service
  • Organizational Skills
  • Detail Oriented
  • Empathy
  • Problem Solving

Roles & Responsibilities

  • High school diploma or GED
  • 1-2 years of related experience
  • Strong communication and customer service skills
  • Knowledge of health plan benefits and local resources; familiarity with Social Determinants of Health (SDOH) is preferred

Requirements:

  • Conduct outreach to members via phone, answer inbound calls, and assist with scheduling services while providing ongoing education to members and providers
  • Serve as frontline contact for member and provider inquiries, resolve issues, explain care plan procedures and protocols, and document member records per state and regulatory guidelines
  • Support member onboarding and day-to-day administrative duties, including sending welcome letters, related correspondence, and program educational materials
  • Connect members to health plan and community resources to address Social Determinants of Health (SDOH) needs and ensure high-quality customer care

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: 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.

This is a remote position must work EST time zone, no matter where you reside.

  • 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

Education/Experience: Requires a High School diploma or GED
Requires 1 – 2 years of related experience
 

Pay Range: $17.84 - $28.02 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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