Care Coordination & Support Specialist II - Remote

Centene Corporation; North Carolina; Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules (remote/hybrid

Job summary

Centene Corporation is seeking an Administrative Care Management Support professional in North Carolina to perform outreach, answer inbound calls, and schedule services. You’ll serve as a primary contact for members, providers, and staff, resolving issues and documenting records in line with state and regulatory guidelines. Pay range is $17.84 - $28.02 per hour.

Candidates must reside in North Carolina and be authorized to work in the U.S. without sponsorship.

Qualifications

• Requires a High School diploma or GED.
• Requires 1 – 2 years of related experience.

Responsibilities

• 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

Job description

Centene Corporation is seeking an Administrative Care Management Support professional in North Carolina to perform outreach, answer inbound calls, and schedule services. You’ll serve as a primary contact for members, providers, and staff, resolving issues and documenting records in line with state and regulatory guidelines. Pay range is $17.84 - $28.02 per hour.

Candidates must reside in North Carolina and be authorized to work in the U.S. without sponsorship.