Care Management Support Coordinator II

Centene Corporation; Austin (TX); Remote; USD 60,000 - 80,000; Full time

Job summary

A national health organization seeks a Care Management Representative to engage with members, providing outreach and support for care plans. The ideal candidate has a High School diploma and 1-2 years of experience in care coordination or customer service. This role offers flexible remote work options and a competitive benefits package.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work options

Qualifications

• 1-2 years of related experience preferred.
• Knowledge of existing health plan benefits and resources.

Responsibilities

• Provides outreach to members to support care plan next steps.
• Connects members to health plan and community resources.
• Documents non-clinical member records in compliance with regulations.

Skills

Care coordination experience

Utilization management experience

Customer service skills

Education

High School diploma or GED

Job description

Overview

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Applicants for this role have the flexibility to work remotely from their home anywhere in the US. The work schedule is Monday - Friday, 8am - 5pm Central. Overtime will be offered on a voluntary basis. Previous care coordination or utilization management experience is preferred.

Position Purpose

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

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

Education/Experience

Requires a High School diploma or GED

Requires 1 – 2 years of related experience

Pay Range

Pay Range: $17.50 - $27.50 per hour

Benefits

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.

Equal Opportunity Employer

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