Care Coordinator II

BCforward is currently seeking a highly motivated Care Coordinator II for an opportunity Remote!

Position Title: Care Coordinator II

Location: Remote, FL (Must reside in Florida)

Expected Duration: 06 Months of contract with possible extension

Job Type: [FULL TIME (>%3D40 HRS WEEKLY], [CONTRACT], [Remote]

Schedule: 5 PM - 8 AM EST

Targeted Start date: 5/12/2025

Pay Rate: $18-$22 per hour

Position Purpose:

The Care Coordinator II plays a crucial role in supporting care management activities for members, ensuring that healthcare providers and partners deliver services effectively, and achieving continuity of care/member satisfaction. The role involves interacting with members through telephonic outreach and home visits, and documenting care plans to ensure the delivery of appropriate services and resources.

Key Responsibilities:

• Member Outreach: Perform outreach to members via phone or home visits to discuss care plans/service plans, answer questions, address concerns, and provide education on available resources throughout the care process.
• Care Coordination: Work closely with healthcare providers, community partners, members, and caregivers to coordinate care activities based on the care plan/service plan. Make adjustments based on any progress or changes in the member's condition.
• Support for Inquiries: Provide support for any inquiries, requests, or concerns from members or providers related to care plans or service plans.
• Collaboration: Communicate with care managers, practitioners, and other team members to facilitate member services and ensure continuity of care.
• Assessment and Documentation: Assist with performing service assessments and screenings to evaluate the member's care needs, and document all necessary information to maintain accurate and up-to-date records in compliance with state and regulatory guidelines.
• Referrals and Education: Identify needs and make referrals to Care Managers, Disease Managers, or community organizations. Educate members on benefits, resources, and the care process.
• Compliance: Adhere to all policies, standards, and regulatory requirements, ensuring that all activities are compliant with contractual and regulatory guidelines.
• Additional Duties: Perform other related duties as assigned by management.

Qualifications:

Education/Experience:

• High School diploma or GED required.
• 1-2 years of relevant experience in a healthcare, customer service, or care coordination setting.

Preferred Qualifications:

• Experience in a managed care setting, medical office, or healthcare facility with medical administration duties.
• Familiarity with medical terminology and utilization review or claims processing practices.
• Bilingual candidates are a plus.

Skills:

• Strong communication and problem-solving abilities.
• Proficiency in Microsoft Office (basic understanding required).
• Ability to work empathetically with families and children, especially those dealing with complex medical conditions.
• Knowledge of customer service principles and healthcare delivery processes.

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 237539 when responding to this ad.