Care Management Support Coordinator II

Care Management Support Coordinator II

BC Forward is looking for Care Management Support Coordinator II (REMOTE - DE )

Position Title: Care Management Support Coordinator II (REMOTE - DE )

Locations: REMOTE - Delaware

Anticipated Start Date: 03/10

Expected Duration: 3 Months

Job Type: Contract with possible extension

Shift: 8:00 AM to 5:00 PM EST

Pay Rate $22/hr. on W2

Need: Min 2 yrs of Healthcare/Managed Care Experience

Job Description:
Position Purpose:
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. This role focuses on member outreach, appointment coordination, community resource connections, and provider communication to ensure comprehensive support for members.
Key Responsibilities:

• Conduct member outreach calls to assist with care coordination, appointment scheduling, and follow-up on social determinants of health needs.
• Facilitate appointment linkage and verify scheduled medical visits to ensure compliance with treatment plans.
• Research and resolve claims inquiries related to departmental responsibilities.
• Assess and monitor the inpatient census to track members' hospitalization status.
• Screen for eligibility and benefits, identifying members without a Primary Care Provider (PCP) and referring them to Member Services.
• Prioritize and screen members for case management (CM) assessments.
• Perform transition of care duties, including coordinating with attending physicians, home health agencies, equipment vendors, and other medical providers.
• Connect members with appropriate community-based organizations to address their healthcare and social needs.
• Represent the organization in marketing and outreach meetings as required.
• Generate and mail routine case management letters and educational materials.
• Accurately enter assessments and authorizations into the system.

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Required Skills & Experience:

Medical background

Customer service experience

Experience in a managed care environment

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Preferred Skills & Experience:

• Strong communication and problem-solving skills
• Familiarity with case management or utilization review processes
• Ability to work in a fast-paced healthcare setting

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Education Requirements:

• Minimum: High school diploma or equivalent
• Experience: 2-3 years in a managed care setting, medical office, or healthcare facility with demonstrated medical administrative duties

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Software Skills Required:

• Microsoft Outlook (email)
• Microsoft Teams
• Microsoft Office Suite (Word, Excel, PowerPoint)
• Spreadsheets

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Certifications & Testing:

• Required Certifications: None
• Required Training: University training programs

Performance Expectations & Metrics:

• Successfully complete a minimum of 40 calls per day to assigned members.
• Meet weekly outreach and engagement targets as set by the department.

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Onboarding & Training:

• First-day orientation includes access to Centene University and an introduction to company policies and procedures.
• The role requires 4 to 6 weeks of structured training, including hands-on training with the hiring manager and department-specific instruction.

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Preferred Background & Experience:
Education:

• High school diploma or equivalent required.

Experience:

• 2-3 years of experience in a managed care setting, medical office, or healthcare facility with responsibilities related to medical administration.
• Strong knowledge of customer service, utilization review, or claims processing in a managed care environment.
• Familiarity with medical terminology and healthcare processes.
• Proficiency in using office equipment and systems, including Microsoft Office and electronic health record (EHR) platforms.

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 235215 when responding to this ad.

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