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Job Requirements of Care Coordinator II - J01000:
-
Employment Type:
Contractor
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Location:
Kentucky, US (Onsite)
Do you meet the requirements for this job?
Care Coordinator II - J01000
BCforward
Kentucky, US (Onsite)
Contractor
Care Coordinator II - J01000BC Forward is looking for Care Coordinator II (Remote KY)
Position Title: Care Coordinator II (Remote KY)
Location: Eastern KY or Westen KY - KY is mandatory for this role
Anticipated Start Date: ASAP
Expected Duration: 3 months
Job Type: Potential to extends and/or convert to FTE
Schedule:Training will run from 8:30 AM to 5:00 PM EST for 2 weeks (shadowing; cameras are required to be on). After training, working hours will be 8:30 AM to 5:00 PM EST or CST, depending on the candidate's location in Kentucky.
Pay rate: $23.00/hr on W2
Need: Skilled at engaging members in conversation while multitasking across systems, addressing care needs, and completing assessments to close HEDIS gaps.
Interview Process: 1-Phone Screening 2- Virtual Interview.
Job Description:
Position Purpose
This role supports care management activities and assigned teams to ensure healthcare services are delivered effectively by providers and partners, with a focus on continuity of care and member satisfaction. Responsibilities include engaging with members through telephonic outreach or home visits, documenting care/service plans, and supporting members throughout their care journey.
Education & Experience
Licensure & Certification Requirements
Key Responsibilities
Story Behind the Need
Typical Day in the Role
Performance Expectations & Metrics
Candidate Requirements
Top 3 Must-Have Skills (in order of importance)
Ability to fully engage members in conversation while supporting medical care needs.
Ability to multitask across multiple systems/screens while maintaining member engagement (avoiding "dead air").
Ability to complete assessments to close HEDIS care gaps.
Candidate Review & Selection
Position Title: Care Coordinator II (Remote KY)
Location: Eastern KY or Westen KY - KY is mandatory for this role
Anticipated Start Date: ASAP
Expected Duration: 3 months
Job Type: Potential to extends and/or convert to FTE
Schedule:Training will run from 8:30 AM to 5:00 PM EST for 2 weeks (shadowing; cameras are required to be on). After training, working hours will be 8:30 AM to 5:00 PM EST or CST, depending on the candidate's location in Kentucky.
Pay rate: $23.00/hr on W2
Need: Skilled at engaging members in conversation while multitasking across systems, addressing care needs, and completing assessments to close HEDIS gaps.
Interview Process: 1-Phone Screening 2- Virtual Interview.
Job Description:
Position Purpose
This role supports care management activities and assigned teams to ensure healthcare services are delivered effectively by providers and partners, with a focus on continuity of care and member satisfaction. Responsibilities include engaging with members through telephonic outreach or home visits, documenting care/service plans, and supporting members throughout their care journey.
Education & Experience
- High School diploma or GED required
- 1-2 years of related experience required (call center or provider office experience preferred)
- Proficiency in Microsoft Excel and Word required
Licensure & Certification Requirements
- Florida - Sunshine Health Plan: All member interactions are conducted telephonically.
- Arkansas - Total Care Plan:
- Designated as a safety-sensitive position
- Requires a valid driver's license
- Requires child and adult maltreatment checks (prior to hire and ongoing)
- Requires a drug screen (at hire and ongoing)
- Must reside in Arkansas or a border city
- Travel: 30%
- Designated as a safety-sensitive position
Key Responsibilities
- Conduct outreach to members via phone or home visits to engage, review care/service plans, and address next steps, resources, and concerns. Provide ongoing education as appropriate.
- Coordinate care activities with healthcare providers, community partners, members, and caregivers to accommodate changes or progress.
- Respond to member and/or provider inquiries, requests, or concerns related to care/service plans.
- Communicate with care managers, practitioners, and other stakeholders to facilitate member services and continuity of care.
- Support service assessments/screenings for members and document care needs.
- Maintain accurate and compliant member records in accordance with state and regulatory requirements.
- Identify member needs and make referrals to Care Managers, Disease Managers, or community-based organizations.
- Provide education on available benefits and resources.
- Follow organizational policies, contractual requirements, and regulatory guidelines.
- Perform other related duties as assigned.
Story Behind the Need
- Team Purpose: A telephonic outreach team connecting with vulnerable Medicare members who remain non-compliant with annual preventive screenings and visits.
- Team Culture & Work Environment: Collaborative, supportive environment with outbound calling (approximately 10 calls per hour). Team members document assessments and applications while leveraging proficiency in Excel and Word.
- Hiring Context: Part of an initiative to engage members, improve compliance, and address care gaps.
Typical Day in the Role
- Make outbound calls (goal: 10 members per hour) to assist with scheduling provider appointments and addressing open care gaps.
- Provide educational information and support with Social Determinants of Health (SDoH) barriers.
- Utilize resource folders, group chat, weekly office hours, and monthly 1:1 support sessions for guidance and collaboration.
Performance Expectations & Metrics
- Meet outreach goals (10 calls per hour).
- Complete accurate assessments to close HEDIS care gaps.
- Maintain member engagement while multitasking across multiple systems/screens.
Candidate Requirements
- Education: High school diploma or GED (required)
- Experience: 1-2 years of related experience in a call center or provider office (required)
- Technical Skills: Proficiency in Microsoft Excel and Word (required)
- Disqualifiers: Candidates with contract-only backgrounds or those overqualified (e.g., physicians or master's degrees)
- Preferred Qualities: Familiarity with medical terminology
Top 3 Must-Have Skills (in order of importance)
Candidate Review & Selection
- Shortlisting & Review: Immediate (ASAP)
- Interview Process: Microsoft Teams (camera on required)
- Onboarding: Includes expectations setting, compliance with policies/standards, and role-specific training.
Interested candidates please send resume in Word format Please reference job code 243963 when responding to this ad.
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