Care Management Support Coordinator II

Centene Management Company LLC

Pennsylvania

Hybrid

USD 25,000 - 39,000

Full time

3 days ago
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Benefits offered by this job

Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Remote/hybrid/field or office schedule

Job summary

Centene is seeking a remote Care Management Support Specialist to perform outreach, answer calls, and help schedule services for members and providers. The schedule aligns with EST hours and largely involves outbound calling. Prior call center or healthcare experience is preferred.

You will document non-clinical member records, assist with onboarding, and support connections to benefits and community resources to ensure high-quality care and regulatory compliance.

Qualifications

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

Responsibilities

  • Perform outreach to members and providers by phone.
  • Answer inbound calls and schedule services.
  • Document non-clinical member records per policy.
  • Explain care plan procedures and protocols to members.
  • Provide onboarding support and distribute program materials.
  • Refer to Social Determinants of Health resources as needed.

Skills

Call center experience
Healthcare experience
Outbound calls

Education

High School diploma or GED

Job description

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.

Key Details

This is a remote position. Schedule will align with EST. Majority of the day will be spent making outbound calls to members and providers. Previous call center or healthcare experience preferred. 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 and Experience

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

Pay Range

$17.84 - $28.02 per hour.

About Centene

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
  • a flexible approach to work with remote, hybrid, field or office work schedules
Compensation Details

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.

EEO Statement

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.

Criminal Record Consideration

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

Thank you

Thanks for your interest in Centene and its subsidiary companies.

Commitment

Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

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