BusinessOperations - Care Management Support Coordinator II Care Management Support Coordinator II

Mindlance; McAllen (TX); Remote; USD 30,000 - 50,000; Full time

Job summary

An established industry player is seeking a dedicated administrative support professional to enhance care management activities. This role involves engaging with members and providers through both inbound and outbound calls, ensuring seamless scheduling and resource connection. With a focus on maintaining compliance and professionalism, you'll play a crucial part in supporting health plan activities. If you have a passion for customer service and are eager to make a difference in the lives of others, this opportunity offers a rewarding path in a dynamic environment.

Qualifications

• Strong customer service skills and call center experience beneficial.
• Experience in home health or managed care preferred but training will be provided.

Responsibilities

• Support care plan next steps and connect members to resources.
• Maintain member records in compliance with policies and handle inquiries.

Skills

Customer Service Skills

Call Center Experience

Knowledge of Health Plan Activities

Education

High School Diploma or GED

Job description

Job Description:

Position Purpose:

Supports administrative care management activities including outreach, answering inbound calls, and scheduling services. Acts as a point of contact for members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.

Education/Experience:

• High School diploma or GED required
• 1–2 years of related experience

Responsibilities include outreach via phone to support care plan next steps, connecting members to resources, supporting onboarding, and maintaining member records in compliance with policies. Knowledge of health plan activities and resources, explaining care procedures, and supporting member/provider inquiries are essential. Additional duties involve sending correspondence, documenting records, and making referrals for social determinants of health.

Comments for Vendors:

EEO: Mindlance is an Equal Opportunity Employer and does not discriminate based on Minority, Gender, Disability, Religion, LGBTQI, Age, or Veterans status.

Additional Job Details:

Role involves call center activities, including outbound and inbound calls to schedule assessments, with a daily goal of at least 30 members. Responsibilities also include initiating authorization requests, researching claims, verifying appointments, screening for eligibility, referring members without a PCP, and coordinating services with community organizations.

Performance Expectations:

• Maintain professionalism and punctuality
• Schedule or attempt to schedule at least 28 members daily
• Adhere to strict turnaround times
• Handle high call volume efficiently

First Day Overview:

Work remotely with equipment provided, attend in-house training with a Centene trainer, complete compliance modules, and connect with managers and team leads. Set up equipment, contact IT support if needed, and follow scheduled breaks and lunch times.

Candidate Background:

Strong customer service skills, call center experience beneficial. Experience in home health or managed care preferred but not required; training will be provided.

Future Positions:

No projected positions currently planned.