Care Coordinator III

Care Coordinator III

BC Forward is looking for Care Coordinator III (REMOTE) in South Carolina.

Position Title: Care Coordinator III (REMOTE)

Locations: REMOTE - SC (South Carolina)
Anticipated Start Date: 04/07
Expected Duration: 3-6 Months
Job Type: Contract with possible extension
Shift: 8:00 - 5:00 EST, No overtime required
Pay Rate $18.00/hr. on W2
Need: Minimum of 2+ years of call center experience, preferably in healthcare. Experience with HEDIS, STARS, CAHPS, NCQA, Medicare, and/or Medicaid.


Job Descriptions:
Position Purpose:
The Care Management Coordinator supports the senior care management team by ensuring seamless service delivery to members through healthcare providers and community partners. This role serves as a liaison between care managers, providers, and members to coordinate care effectively. The coordinator engages with members via phone outreach or home visits to facilitate continuity of care and enhance member satisfaction.
The Absolute Total Care Quality Improvement Team fosters a close-knit, collaborative atmosphere in a remote setting. This team conducts outbound calls to members, providing health reminders and encouraging them to schedule essential appointments.
The workday runs from 8:00 AM to 5:00 PM and includes two paid 20-minute breaks and one unpaid 60-minute lunch break. Communication is primarily conducted via email and chat, fostering a close-knit, collaborative atmosphere in a remote setting.
The team is driven by a passion for people, engagement, and improving quality of life. We continuously adapt to and learn about healthcare changes to enhance our outreach efforts and deliver better outcomes.
Qualifications & Expectations
Must-Haves:

• Minimum of 2+ years of call center experience, preferably in healthcare.

Nice-to-Haves:

• Experience with HEDIS, STARS, CAHPS, NCQA, Medicare, and/or Medicaid.

Disqualifiers:

• Distractions during the interview.
• Lack of professionalism or not being camera-ready.
• Inability to answer questions effectively.
• Frequent job hopping.
• Other concerns (TBD).

Performance Indicators:

• Make 70 calls per day (10 calls per productive hour).
• Maintain a 99.5% quality score.
• Adhere to attendance guidelines.

Education & Experience:

• High School diploma or GED required.
  
• 2 - 4 years of relevant experience in healthcare, social services, or a related field.
  
• For the Illinois Youth Care Contract: A Bachelor's degree in nursing, social sciences, social work, or a related field, along with one (1) year of supervised clinical experience in a human services field, is required.
  

License/Certification:

• Specific licensure or certification may be required based on state regulations and contractual obligations.
  

Key Responsibilities:

• Conduct outreach to members via phone or home visits to discuss care plans, service plans, next steps, available resources, and address any questions or concerns.
  
• Coordinate care activities based on individual care/service plans, working closely with healthcare and community providers, members, and caregivers to ensure effective service delivery.
  
• Serve as a point of contact for members and providers, addressing inquiries, requests, and concerns related to care plans.
  
• Develop in-depth knowledge of care management services and assist in resolving complex or escalated issues.
  
• Facilitate communication between care managers, practitioners, and other stakeholders to support member services and ensure continuity of care.
  
• Conduct service assessments and screenings for members with complex needs, documenting their care requirements in accordance with state and regulatory guidelines.
  
• Maintain accurate and up-to-date member records and distribute them to providers as needed.
  
• Support the care management team by triaging, prioritizing, and escalating complex requests to management when necessary.
  
• Ensure compliance with all contractual, regulatory, and organizational policies and standards.
  
• Identify member needs and provide appropriate referrals to care managers, community-based organizations, and disease management programs.
  
• Educate members on benefits, available resources, and care options.
  
• Assist in training and development activities as needed.
  
• Perform additional duties as assigned.
  

This position requires a proactive approach to member engagement, strong communication skills, and the ability to collaborate effectively with care teams and service providers. The Care Management Coordinator plays a vital role in improving healthcare outcomes and ensuring member satisfaction through comprehensive care coordination.


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.

Interested candidates please send resume in Word format Please reference job code 236610 when responding to this ad.

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