Care Management Support Coordinator II

Care Management Support Coordinator II

BC Forward is looking for Care Management Support Coordinator II (Remote) in Kentucky

Position Title: Care Management Support Coordinator II (Remote)

Locations: REMOTE - KY (EST OR CST)
Anticipated Start Date: 02/24
Expected Duration: 6 months
Job Type: Contract with possible extension
Work Schedule: Typical shifts include: 8:00 AM - 5:00 PM / 8:30 AM - 5:30 PM / 9:00 AM - 6:00 PM Start times are flexible, with openness to later start times beyond 9:00 AM if needed.
Pay Rate: $22.00/hr. on W2.
Need: Prior experience in a medical office or healthcare setting and High Volume Calling with Medical training, certification, or education in mental health.



Job Description:
The role supports administrative care management activities by conducting outreach, managing inbound calls, and coordinating services. It serves as a central point of contact for members, providers, and staff, addressing inquiries and resolving issues. The position ensures accurate documentation of member records in compliance with state and regulatory guidelines.

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Day-to-Day Responsibilities:

• Data Management and Member Outreach:
  • Extract member information from a computer system and compile it into a spreadsheet for tracking and reporting.
  • Conduct outreach calls to members to address care gaps in specific areas, assisting them with tasks such as scheduling primary care provider (PCP) appointments and finding a PCP when necessary.
  • Identify and connect members with community resources to address Social Determinants of Health (SDOH) needs.
  • Accurately document all interactions, progress, and follow-ups in multiple systems to ensure comprehensive records of member support activities.

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Performance Expectations and Metrics:

• Call Volume and Member Engagement:
  
  • Achieve a weekly call target of 250 calls, with a daily focus on managing a panel of 50-60 members.
  • Effectively engage with members to close care gaps, ensuring timely and effective assistance with care coordination and resource navigation.
• Documentation and Compliance:
  
  • Maintain detailed and accurate documentation of all activities and interactions in compliance with organizational standards and regulatory requirements.
• Audit Scores:
  
  • Consistently meet or exceed monthly audit score expectations, demonstrating accuracy, efficiency, and adherence to established processes.

Required Skills and Experience:

Prior experience in a medical office or healthcare setting.

Familiarity with medical terminology.

Basic computer proficiency, including the ability to use software for documentation and outreach.

Preferred Skills and Experience:

Experience working with community-based organizations.

Knowledge of medical screenings and their purpose.

Additional medical training, certification, or experience in mental health is highly desirable.

Education Requirements:

• Required: High School Diploma or GED.
• Preferred: Medical training, certification, or education in mental health.

Software Skills:

• Proficiency in Microsoft Outlook and Excel is required.
  

Key Responsibilities:

• Member Outreach and Support:
  
  • Contact members via phone to assist with care plan follow-ups, address questions or concerns, and provide ongoing education for both members and providers.
  • Connect members with health plan and community resources to ensure they receive high-quality care and support.
• Provider and Member Assistance:
  
  • Act as a frontline resource for member and provider inquiries, requests, or concerns, including explaining care plan procedures and protocols.
  • Facilitate member onboarding by sending welcome letters, educational materials, and correspondence to support strong member-provider relationships.
• Administrative and Documentation Tasks:
  
  • Maintain and update non-clinical member records in compliance with state and regulatory requirements.
  • Provide accurate and timely documentation to providers as needed.
  • Assist with day-to-day administrative duties to streamline care management processes.
• Resource Navigation:
  
  • Apply knowledge of available health plan activities and community resources to guide members.
  • Make appropriate referrals to address Social Determinants of Health (SDOH) needs and connect members to relevant services.
• Compliance and Standards:
  
  • Adhere to all policies, procedures, and regulatory standards to maintain service quality and accountability.
• Other Duties:
  
  • Perform additional tasks and responsibilities as assigned to support care management activities.

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Education and Experience:

• Required:
  
  • High School diploma or GED equivalent.
  • 1-2 years of related experience in administrative support, care management, or customer service.
• Preferred Skills and Qualifications:
  
  • Familiarity with care plans, health plan resources, and community services.
  • Strong communication and problem-solving skills.
  • Ability to manage multiple tasks efficiently and provide excellent customer service.

Benefits at BCforward:
BCforward offers a comprehensive benefits package to all eligible employees, which includes:

• Major medical insurance
• Health Savings Account (HSA)
• Dental and vision insurance
• Employer-provided group life insurance
• Voluntary life insurance
• Short-term and long-term disability insurance
• 401(k) retirement plan

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About BCforward:

Founded in 1998, BCforward was established to provide industry leaders with professional services and workforce management expertise to support the development and execution of core business and technology strategies. As a Black-owned organization, BCforward delivers unique solutions that drive value capture and digital product delivery for clients across the globe.

Headquartered in Indianapolis, Indiana, with an Offshore Development Center in Hyderabad, India, BCforward's team of 6,000 consultants supports over 225 clients worldwide.

BCforward is guided by its core values of People-Centricity, Optimism, Excellence, Diversity, and Accountability. These values empower BCforward professionals to help clients transform, accelerate, and scale their businesses effectively. With a proven track record spanning over 25 years, BCforward is proud to be a market leader and a best-in-class employer.

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Commitment to Diversity and Equal Opportunity:

BCforward is an equal-opportunity employer. We are committed to creating an inclusive environment where all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability.

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Privacy Notice:

As part of the recruitment process, BCforward may request various categories of personal information, such as identifiers, professional details, education history, and other relevant data. This information is solely used to facilitate the recruitment process. For more details on how BCforward collects and uses personal information, please review our Privacy Notice and CCPA Addendum.

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Important Notices:

• This posting is for informational purposes only and does not constitute an offer of employment.
• Applicants must be legally authorized to work in the United States.
• Submitting intentionally false or fraudulent information may result in ineligibility for employment.
• Employment offers are considered "at-will," regardless of assignment duration.

Interested candidates please send resume in Word format Please reference job code 234623 when responding to this ad.

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