Care Coordinator II

Centene Corporation; Georgia; Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is seeking a Care Coordinator II to provide non-clinical administrative support to the care management team. You will handle inbound and outbound calls, manage call queues and referrals, and collect information by phone to determine eligibility for enrollment.

You will coordinate care activities with providers and community partners, document member plans, educate on benefits, and route inquiries to the appropriate care managers.

Qualifications

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

Responsibilities

• 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.
• 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.
• Coordinates care activities based on the care plan/service plan with providers and partners.
• Serves as support on inquiries related to care plan/service plan.
• Communicates with care managers and practitioners to facilitate member services.
• May support service assessments/screenings and document member needs.
• Maintains member records in accordance with state/regulatory requirements.
• Follows policies compliant with contractual/regulatory guidelines.
• Identify needs and make referrals to Care Manager and community organizations.
• Provide education on benefits and resources available.
• Performs other duties as assigned.
• Complies with all policies and standards.

Job description

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.

Centene offers a comprehensive benefits package including: 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