Care Management Support Coordinator II

Centene Management Company LLC; United States; Remote; USD 36,000 - 52,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedule: remote, hybrid

Job summary

Centene Corp. is seeking a remote Care Coordination Support role based in Iowa. The position supports administrative care management activities, including outreach, inbound calls, and scheduling services for members and providers.

The candidate will join a team focused on connecting members with resources, onboarding, and maintaining accurate member records in line with regulatory guidelines. 1–2 years of experience preferred; Medicaid waiver familiarity is a plus.

Qualifications

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

Responsibilities

• Outreach to members via phone to support care plan steps and schedule services.
• Provide guidance to members on resources and education for member and provider.
• Serve as front-line support for member/provider inquiries or concerns and explain care plan procedures.
• Support member onboarding and daily administrative duties including sending welcome letters and program materials.
• Document and maintain non-clinical member records per state and regulatory requirements.
• Identify Social Determinants of Health (SDOH) needs and refer to appropriate resources.
• Perform other duties as assigned and comply with policies and standards.

Skills

Communication skills

Customer service

Phone etiquette

Care coordination

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

Work remotely from anywhere in Iowa with a predictable Monday-Friday, 8:00 a.m.-5:00 p.m. schedule. We’re looking for candidates with 1-2+ years of related experience who enjoy connecting with members and supporting care coordination. Medicaid waiver experience is a plus!

• 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

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

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.

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.