Care Coordinator II

Centene Corporation; Atlanta (GA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K/stock plan

Tuition reimbursement

PTO + holidays

Flexible work arrangements

Job summary

Centene Corporation is seeking a Care Coordinator II to provide non-clinical administrative support to the care management team in a dynamic health services environment. You will handle inbound/outbound calls, manage queues, collect eligibility information, and route referrals to clinical staff to support continuity of care.

You'll engage members by phone or visits where appropriate, document care plans, assist with assessments, and ensure compliance with regulatory standards while delivering

Qualifications

• Requires strong communication over the phone and via documentation.
• Experience handling care coordination workflow and referrals is a plus.
• Ability to follow regulatory guidelines and maintain member records.

Responsibilities

• Provide outreach to members by phone to discuss care plans and next steps.
• Coordinate care activities with providers and care managers.
• Handle member and provider inquiries related to care plans and services.
• Document member records and care needs in the system.
• Assist with service assessments or screenings when applicable.
• Maintain compliance with standards and policies.

Skills

Phone communication

Customer service

Documentation

Problem solving

Education

High School diploma or GED

Job description

Business Area: Clinical & Care Management

Job Type: Full time

The Care Coordinator II provides non-clinical administrative support to the care management team.

Handles inbound and outbound calls to support care management services.

Manages call queues, tasks, and referrals in a timely manner.

Gathers information by phone to determine eligibility for care management enrollment.

Routes referrals to the appropriate clinical or nursing team.

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate

• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed

• Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan

• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service

• May support performing service assessments/screenings for members and documenting the member's care needs

• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed

• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards

• Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager

• Provide education on benefits and resources available

• Performs other duties as assigned.

• Complies with all policies and standards.

Education/Experience:

Requires a High School diploma or GED.

Requires 1 - 2 years of related experience

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• and a flexible approach to work with remote, hybrid, field or office work schedules
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act