Care Coordinator III

BCForward is looking for Care Coordination Support Specialist- Remote- SC

Job Title: Care Coordination Support Specialist

Location: Remote (South Carolina)

Duration: 06+ Months

Potential to Extend- YES
Hours: 40 hours per week, Monday to Friday (8:00 AM - 5:00 PM)
Start Date: ASAP
Hourly Rate: $22.00 - $23.00 per hour

Position Purpose:

The Care Coordination Support Specialist works closely with the senior care management team to assist in care management activities, ensuring that healthcare services are provided to members efficiently and effectively. This role serves as a liaison between care managers, providers, and members, coordinating care, performing member outreach, and addressing concerns to ensure continuity of care and member satisfaction.

Key Responsibilities:

• Member Outreach & Engagement:
  Perform outreach to members via phone calls or home visits to discuss their care plans, address questions or concerns, and provide ongoing education throughout the care process.
• Ensure that all members are engaged and informed about their care plans and the next steps.
• Assist in scheduling appointments and facilitating access to necessary resources.
• Care Plan Coordination:
  Coordinate with healthcare providers and community partners to accommodate changes or updates to care plans.
• Ensure that care plans are adjusted as needed and communicated clearly with providers and members.
• Documentation & Record Keeping:
  Maintain accurate and up-to-date records of members' care needs and services, ensuring compliance with state and regulatory guidelines.
• Document service assessments, screenings, and other necessary information.
• Ensure proper documentation is shared with providers when needed.
• Issue Resolution:
  Act as a support resource for members and providers, addressing any concerns or issues related to the care plan or service plan.
• Escalate more complex cases to care management or appropriate leadership.
• Member Education & Resource Referral:
  Educate members on benefits and available resources to enhance their overall care experience.
• Make referrals to care managers or community-based organizations when necessary.
• Collaborative Communication:
  Work closely with care managers, healthcare practitioners, and other team members to ensure smooth coordination of care and follow-up on member progress.
• Regularly update the team on the status of members' care and ensure no gaps in service.
• Compliance & Safety:
  Follow all organizational policies, standards, and regulations, ensuring compliance with contractual requirements and regulatory guidelines.
• Promote safe practices and lead by example in fostering a safe work environment.
• Other Duties as Assigned:
  Support team initiatives, assist with training and development activities, and contribute to the overall success of the care management team.
• Perform any additional tasks or responsibilities as needed to support the team and members.

Required Qualifications:

• Education:
• High School Diploma or GED required.
• Bachelor's degree in Nursing, Social Sciences, Social Work, or related field preferred for specific contracts (e.g., Illinois Youth Care Contract).
• Experience:
• 2-4 years of related experience in healthcare or care coordination.
• Experience in customer service or member communications, preferably in healthcare settings.
• Experience in Medicaid, Medicare, or HEDIS standards a plus.
• Skills & Competencies:
• Strong verbal and written communication skills.
• Proficiency with Microsoft Office Suite (Excel, Word, PowerPoint).
• Ability to work independently and as part of a collaborative team.
• Strong organizational and time management skills.
• Ability to handle sensitive and confidential information.

Preferred Qualifications:

• Experience:
• Previous experience in a customer service or healthcare setting working with members and providers.
• Familiarity with HEDIS, STARS, CAHPS, or NCQA guidelines is highly desirable.
• Certifications:

Any relevant healthcare certifications (e.g., Care Coordination, Healthcare Management)

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 231392 when responding to this ad.