Care Management Support Coordinator II

Centene Management Company LLC; Texas; Hybrid; USD 25.000 - 39.000; Vollzeit

Benefits dieser Stelle

Health insurance

401K and stock purchase plans

Tuition reimbursement

paid time off plus holidays

a flexible approach to work withremote

Zusammenfassung

Centene Management Company LLC in Texas is seeking an Administrative Care Management Support specialist to handle outreach, answer calls, and schedule services. You will be the first contact for members, providers, and staff, helping resolve issues and document records according to state and regulatory guidelines.

You will support onboarding and day-to-day administrative duties, send welcome letters and program materials, and refer members to health plan and community resources to ensure

Qualifikationen

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

Aufgaben

• Perform outreach and answer inbound calls.
• Schedule services and document member records.
• Serve as front-line support for member/provider inquiries.
• Educate members on care plans and resources.
• Refer to Social Determinants of Health (SDOH) resources.
• Maintain non-clinical records per policy.

Kenntnisse

Customer service

Phone support

Documentation

Ausbildung

High School diploma or GED

Jobbeschreibung

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. 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. Applies 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

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

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.