Immediate need for a talented
Care Management Support Coordinator II. This is a
06+ Months Contract opportunity with long-term potential and is located in
Texas (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-67534
Pay Range: $17.50 - $18/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Supervisor led environment, weekly meeting and morning huddles.
- Individual will be contacting member telephonically - like working in a call center - making outbound calls and receiving inbound call.
- Contractors have inbound que and have outbound call.
- Complete emails, production information for the day is given through.
- They will be able to reach out to the supervisor for assistance.
- Remote work.
- Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service.
- Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service.
- May apply working knowledge of assigned health plan(s) activities and resources.
- Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols.
- Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship.
- Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed.
- Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs.
- Performs other duties as assigned.
- Complies with all policies and standards.
Key Requirements and Technology Experience: - Skills-Member outreach, healthcare, Bilingual, Call Center ,outbound & inbound calling, Member services, Customer service.
- High School diploma, GED.
- Call Center experience, Bilingual.
- Performance indicators: Individuals are expected to Contact a minimum of 28 members daily maintain audit score of 95% on a monthly bases.
- 1 year healthcare experience.
Our client is a leading
Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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