Care Management Support Coordinator II

Centene; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated individual to support care management activities for its members. This remote position offers the opportunity to engage directly with members, helping them navigate their care plans and access necessary resources. You'll play a vital role in ensuring high-quality customer service while documenting member interactions in accordance with state guidelines. With a commitment to transforming community health, this role is perfect for those looking to make a meaningful impact while enjoying a flexible work environment. Join a team that values diversity and fosters a culture of inclusivity.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 1-2 years of related experience in customer service or administrative roles.
• High School diploma or GED required.

Responsibilities

• Provide outreach and support to members regarding care plans and resources.
• Document and maintain non-clinical member records in compliance with regulations.

Skills

Customer Service

Communication Skills

Problem-Solving

Knowledge of Health Plan Resources

Education

High School Diploma or GED

Job description

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.

**This is a Remote position open to candidates in the Continental United States**

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.
• 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

License/Certification:

• For Florida-Sunshine Health Plan - All interactions with members are done telephonically.

Pay Range: $17.50 - $27.50 per hour

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. Total compensation may also include additional forms of incentives.

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.

About the company

Centene Corporation is a publicly traded managed care company based in St.