Care Coordinator II, STAR Kids

Superior HealthPlan; United States; 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 and holidays

Flexible work schedule (remote/hybrid/

Office or field work options

Job summary

Superior HealthPlan is seeking a Care Coordination team member to support outreach to members and assist in implementing care/service plans. The role involves coordinating with healthcare providers and community partners to ensure timely care, documentation, and education for members and families.

The ideal candidate will have healthcare administrative support experience, strong communication skills, and the ability to thrive in a fast-paced environment.

Qualifications

• Requires a High School diploma or GED.
• Requires 1–2 years of related experience.
• Excellent communication and attention to detail.
• Ability to adapt to a fast-paced, service-oriented healthcare environment.

Responsibilities

• Provides outreach to members via phone or home visits to engage members and discuss care/service plans.
• Coordinates care activities with providers, partners, and members to accommodate changes.
• Handles inquiries related to care plans and services.
• Communicates with care managers and practitioners to facilitate member services and continuity of care.
• Supports documenting and maintaining member records per state/regulatory requirements.
• Follows policies compliant with contractual and regulatory guidelines.
• Identifies needs and makes referrals to care managers and community resources.
• Provides education on benefits and resources available.

Skills

Typing 60+ WPM

High-volume email

Customer service

Phone etiquette

BILINGUAL ENGLISH/SPANISH (nice tohave

Education

High School diploma or GED

Tools

Microsoft Office Suite

Video conferencing apps (MS Teams, Zoom)

MS Outlook

Job description

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.

Key Details:

STAR Kids Care Coordination Team is seeking candidates with 3+ years of healthcare administrative support experience in both inbound and outbound call center environments. Ideal candidates will have a proven ability to coordinate member services, collect and verify critical information, administer health assessments, and process insurance or DME authorization requests accurately and efficiently. Strong proficiency in typing (60+ WPM), managing high-volume email inboxes, and delivering exceptional customer service to members and providers through clear, professional verbal and written communication is required. Candidates must also demonstrate polished business phone etiquette, strong attention to detail, and the ability to thrive in a fast-paced, service-oriented healthcare environment.

The work Schedule:

Monday–Friday, 9:00 am - 6:00 pm or 8:00 AM–5:00 PM CST.

Note: Mandatory business needs require staff to work regular scheduled shift for the first 10 business days of each month. Occasional training or staff meet-up sessions are held in the Centene/Superior Health Plan Talent Hub offices.

Responsibilities:

• 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

Preferred Experience:

• 3+ years of healthcare administrative support experience in both inbound and outbound call center environments.
• Proven ability to coordinate member services, collect and verify critical information, administer health assessments, and process insurance or DME authorization requests accurately and efficiently.
• Strong personable communication, attention to detail, organizational, and time management skills are required.
• Ability to adapt to changing business needs with openness, flexibility, and professionalism.
• Proficient technology skills and direct experience working Microsoft Office Suite and Video Conferencing Applications – (MS Outlook, Word, M365 Copilot, Excel, PowerPoint, OneNote, Teams and ZOOM etc.)
• Must be able to work independently with minimal supervision.
• Experience working with government and state sponsored programs (i.e. STAR Kids, CHIP, Medicaid, Medicare, STAR Plus, Medicaid Waiver, MDCP, etc)
• Bilingual English/Spanish skills are a plus, but not required

Pay Range:

$17.84 - $28.02 per hour

About Us:

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.

Benefits:

• 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.

Equal Opportunity:

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.

Compliance Statement:

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