Remote Care Management Support Coordinator II

Superior HealthPlan; United States; Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health insurance

401K plan

Tuition reimbursement

Paid time off + holidays

Flexible work schedules

Job summary

Centene is seeking a member services associate to support administrative care management, outreach, inbound calls, and scheduling. You will be the first contact for members, providers, and staff, helping resolve issues and document records in compliance with state and regulatory guidelines.

You will assist with onboarding, send welcome letters and program educational materials, and connect members to health plan resources and community services while maintaining non-clinical records.

Qualifications

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

Responsibilities

• Supports administrative care management activities including 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

High School diploma or GED

Job description

Centene is seeking a member services associate to support administrative care management, outreach, inbound calls, and scheduling. You will be the first contact for members, providers, and staff, helping resolve issues and document records in compliance with state and regulatory guidelines.

You will assist with onboarding, send welcome letters and program educational materials, and connect members to health plan resources and community services while maintaining non-clinical records.