Care Management Support Coordinator II

BCforward is currently seeking a highly motivated Care Management Support Coordinator II for an opportunity in 100% REMOTE.

Job Details:

Position Title: Care Management Support Coordinator II

Location: 100% REMOTE

Duration: 4+ Months and Possibility for extension

Anticipated Start Date: ASAP

******9am-6pm EST/8am-5pm CST****

***Candidate must reside in Central or Eastern Time Zones Only***

Job Summary:

• 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

Responsibilities:

• Provides outreach to members via phone to support 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 resources.
• Serves as 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 provides to providers as needed.
• Maintains knowledge of existing benefits and resources locally and makes referrals to address Social Determinants of Health (SDOH) needs.
• Performs other duties as assigned.
• Complies with all policies and standards.

Interested candidates please send resume in Word format Please reference job code 236430 when responding to this ad.