Care Management Support Coordinator II

Care Management Support Coordinator II

BCforward is seeking a highly motivated Care Management Support Coordinator II role, location Remote EST or CST

Job Title: Care Management Support Coordinator

Location: Remote, EST or CST

Target Start Date: March 24, 2025

Pay Rate: $19 per hour

Assignment Duration: 4 Months (possibility to extend or convert)

Job Description: Care Management Support Coordinator

Position Purpose: The Care Management Support Coordinator is responsible for supporting administrative care management activities, which include performing outreach, answering inbound calls, and scheduling services. The role serves as a point of contact for members, providers, and staff to resolve issues and maintain accurate member records in accordance with state and regulatory guidelines.

Education/Experience:

• High School diploma or GED required.
• 1 - 2 years of related experience.
• Experience in customer service or healthcare is preferred.

Key Responsibilities:

• Perform outreach to members via phone to discuss care plan next steps, community or health plan resources, and any questions or concerns related to scheduling. Provide ongoing education for both the member and provider throughout care/service.
• Assist members in connecting with other health plan and community resources to ensure they receive high-quality customer care.
• May apply working knowledge of assigned health plan(s) activities and resources.
• Serve as front-line support on various member and provider inquiries, requests, or concerns, including explaining care plan procedures and protocols.
• Support member onboarding and administrative duties, including sending out welcome letters, program educational materials, and other correspondence to assist in building a successful member/provider relationship.
• Document and maintain non-clinical member records in accordance with state and regulatory requirements.
• Make referrals to address Social Determinants of Health (SDOH) needs, leveraging knowledge of local benefits and resources.
• Perform other duties as assigned.
• Ensure compliance with all policies and standards.

Work Environment:

• Work is remote, within the EST or CST time zone.
• Daily schedule is from 9:00 AM - 6:00 PM EST (flexible).
• No overtime expected.
• Primarily individual work, offering case management and connecting with Medicare members via phone.

Key Performance Indicators:

• Quality phone service.
• Ability to work effectively in a team environment and assist others when needed.
• Metric-based performance (engagement, declines, and UTR).

Compelling Story: This role is ideal for individuals who are passionate about helping others and have a background in customer service or healthcare. The role offers a chance to make a significant impact by providing valuable support to members. The team culture is supportive, and training will be provided to ensure success. If you're looking for a role that combines customer service with healthcare, this is an excellent opportunity to grow your skills in a meaningful way.

Candidate Requirements:

Required:

• High School diploma or GED.
• 1-2 years of related experience, preferably in healthcare or customer service.
• Strong phone service skills.
• Ability to work independently and maintain high levels of communication.

Preferred:

• Bilingual in Spanish.
• Experience with medical or healthcare services.:

Benefits

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is 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 based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 236018 when responding to this ad.

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