Care Coordinator II

Care Coordinator II

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

Position Title: Care Coordinator II

Location: Remote (CST)

Anticipated Start Date: 01/13/2024

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: 6 Months

Job Type: [FULL TIME (>%3D30 HRS WEEKLY), [CONTRACT], [ON-SITE]

Pay Range: [18.00] - [22.00]

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:

• Experience with directly working HC providers/patients
• Customer Service
• Experience in managed care

Job Description:

Position Purpose:

Support care management activities and ensure seamless delivery of services by healthcare providers and partners to enhance continuity of care and member satisfaction. This role involves member outreach, coordination of care activities, and documentation of service plans in compliance with regulatory standards.

Key Responsibilities:

• Conduct member outreach via phone or home visits to discuss care/service plans, address concerns, and provide ongoing education.
• Coordinate care activities with healthcare providers, community partners, and members/caregivers to adapt to changes or progress in the care plan.
• Assist with member and provider inquiries related to care plans or services, ensuring prompt and accurate resolution.
• Communicate with care managers, practitioners, and others to facilitate member services and ensure continuity of care.
• Perform service assessments and screenings as needed, documenting care needs in compliance with regulatory requirements.
• Maintain accurate member records, distributing them to providers when necessary.
• Adhere to standards of practice, contractual obligations, and regulatory guidelines.
• Identify member needs and make referrals to care managers, community organizations, and disease management resources.
• Provide education on available benefits and resources.
• Perform other duties as assigned.

Qualifications:

Education: High School diploma or GED required; Bachelor's degree preferred but not mandatory.

Experience:

• 1-2 years of related experience.
• 2-3 years of managed care or physician's office experience preferred.
• Customer service experience, especially in phone-based roles.
• General proficiency in MS Office (Excel, Word, Outlook).
• Experience working directly with healthcare providers and patients preferred.
• Scheduling experience is a plus.

Daily Responsibilities:

• Engage with disenrolled members to encourage re-enrollment with the health plan.
• Assist with medical and psychosocial aspects of utilization and coordinated care.

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.

Keywords:

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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 232119 when responding to this ad.

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