Care Management Support Coordinator II

Care Management Support Coordinator II

BCforward is currently seeking a highly motivated Care Management Support Coordinator II for an opportunity Remote (Preferred candidates from WA, OR, NV, or AZ in MST or PST time zones)!

Job Title: Care Management Support Coordinator II

Location: Remote (Preferred candidates from WA, OR, NV, or AZ - MST/PST time zones)

Pay Rate: $25/hr

Target Start Date: 03/05/2025

Job Type: Contract (Potential to Extend)

Work Schedule:

• Monday - Friday, 8:00 AM - 5:00 PM PST (No flexibility in schedule).
• Overtime may be required as needed.

Position Purpose:

The Care Management Support Coordinator II plays a crucial role in supporting administrative care management activities, including outreach, inbound call handling, and service scheduling. The position serves as a primary contact for members, providers, and internal staff to resolve issues while ensuring compliance with state and regulatory guidelines.

Key Responsibilities:

• Conduct outbound calls to existing members to discuss their care plans, enroll them in the Care Management program, and provide necessary information.
• Support members by connecting them to health plan and community resources to enhance the quality of customer care and services.
• Serve as the first point of contact for member/provider inquiries, including care plan procedures and protocols.
• Assist with onboarding new members by sending welcome letters, educational materials, and program correspondence.
• Maintain and update non-clinical member records following state and regulatory requirements.
• Understand existing benefits and available local resources, making referrals to address Social Determinants of Health (SDOH) needs.
• Perform data entry into TrueCare and navigate multiple systems efficiently.
• Work in a production-based environment, making at least 60 calls per day in a fast-paced setting.
• Adapt to changes in role responsibilities based on business needs.

Required Qualifications:

• High School diploma or GED.
• Minimum of 1-2 years of experience in a high-volume, fast-paced call center environment.
• At least 2 years of healthcare experience.
• Strong data entry skills and ability to navigate multiple systems.
• Excellent communication and customer service skills.
• Ability to meet performance metrics, including call volume and program enrollments.

Preferred Qualifications:

• Sales experience (ability to deliver persuasive pitches to members).
• Experience with outbound sales or customer engagement.
• Proficiency in Microsoft Excel for basic reporting.
• Bilingual in Spanish is a plus.
• Flexibility to adapt to changing call types and business needs.

Work Environment:

• Fully remote role (No on-site work at Centene facilities).
• Candidates must reside in MST or PST time zones (WA, OR, NV, AZ preferred).

Performance Expectations:

• Maintain a high call volume (minimum of 60 outbound calls per day).
• Achieve enrollment targets for the Care Management program.
• Ensure high-quality customer service and compliance with regulations.
• Adapt to business needs and changes in call types.

Ideal Backgrounds:

• Call Center Representative, Customer Service Representative (CSR), Customer Support Associate (CSA), Outbound Sales Representative.

Interested candidates please send resume in Word format Please reference job code 234718 when responding to this ad.

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