Care Management Support Coordinator II - J01003

Job Title: Care Management Support Coordinator
Location: Remote- PST
Hourly Pay Rate: $21.00/hr

Duration: 03+months- Yes for extension and conversion
Target Start Date: March 09th

Shift Timing: Monday to Friday. 8:00 am to 5:00 PM PST NO OT.

Must have

• High school diploma or equivalent with 1-2 years managed care setting, medical office or facility setting with demonstration of medical administration duties.
• Call Center Experience with a high volume of calls (60-70 a day).
• Microsoft Office Skills.
• Customer service

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.

Education/Experience:

• Requires a High School diploma or GED
• Requires 1 - 2 years of related experience

License/Certification:

• For Florida-Sunshine Health Plan - All interactions with members are done telephonically.

Day to Day

• 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 resource
• 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

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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Interested candidates please send resume in Word format Please reference job code 249861 when responding to this ad.