Care Coordinator III

Care Coordinator III

BCforward is currently seeking a highly motivated Care Coordinator III for an opportunity Remote (South Carolina)!

Position Title: Care Coordinator III

Location: Remote (South Carolina)

Anticipated Start Date: 04/07/2025

Please note this is the target date and it is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 3+ Months of contract with possible extension

Job Type: [FULL TIME (>%3D30 HRS WEEKLY], [CONTRACT], [Onsite]

Pay Range: $18.00/hr.

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Job Description:

Additional Functions and Responsibilities:

• Conduct outreach to members via phone or home visits to discuss care/service plans, next steps, resources, and address any concerns.
• Coordinate care activities in collaboration with healthcare providers, community partners, and members/caregivers to accommodate changes and progress.
• Act as a point of support for member and provider inquiries regarding care/service plans.
• Develop a thorough understanding of care management services and handle complex or escalated member issues.
• Communicate effectively with care managers, practitioners, and other stakeholders to facilitate member services and continuity of care.
• Perform service assessments/screenings for members with complex needs and document care requirements accordingly.
• Maintain accurate member records per state and regulatory guidelines and distribute necessary documentation to providers.
• Assist care management teams with triaging and escalating complex requests to management.
• Adhere to contractual requirements and regulatory standards while following best practices in care coordination.
• Identify member needs and make appropriate referrals to Care Managers, community-based organizations, and Disease Management programs.
• Educate members on available benefits and healthcare resources.
• Support training and development initiatives as needed.
• Perform additional duties as assigned.
• Ensure compliance with company policies and industry standards.

Qualifications:

• Education: High School diploma or GED required.
• Experience: 2-4 years of related experience, preferably in a healthcare setting.
• Preferred Qualifications: Experience in HEDIS, STARS, CAHPS, NCQA, Medicare, and/or Medicaid.
• Skills & Competencies:
• Strong verbal and written communication skills.
• Excellent phone presence and customer service orientation.
• Ability to manage multiple tasks and work in a fast-paced environment.
• Strong organizational and problem-solving skills.
• Attention to detail and ability to maintain accurate documentation.

Work Details:

Work Location: Remote (South Carolina).

Schedule: Monday-Friday, 8:00 AM - 5:00 PM

Compensation: $18.00 per hour.

Contract Duration: 3-6 months (with the possibility of extension or conversion).

Performance Expectations:

70 calls per day (10 per productive hour).

Maintain a 99.5% quality score.

Adhere to attendance guidelines.

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.

Interested candidates please send resume in Word format Please reference job code 236322 when responding to this ad.

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