Care Management Coordinator

TEKsystems • San Antonio, TX

6d • $17 - $17 • Remote

About The Position

The Care Management Coordinator supports administrative care management activities, including conducting outreach, answering inbound calls, and scheduling services. The role is a point of contact for members, providers, and staff, helping resolve issues and maintaining member records in accordance with state and regulatory guidelines. For Florida-Sunshine Health Plan, all member interactions are conducted by telephone.

The coordinator contacts members to support care-plan next steps, connect them with community or health plan resources, address scheduling questions or concerns, and provide ongoing education to members and providers. The role also supports member onboarding and day-to-day administration, including sending welcome letters, correspondence, and educational materials. It maintains non-clinical member records, makes referrals for Social Determinants of Health needs, and performs other assigned duties while complying with company policies and standards.

This is a contract position based out of San Antonio, Texas, and is fully remote. The position is anticipated to close on October 30, 2026.

Requirements

• High school diploma or GED.
• 1–2 years of related experience.
• At least 1 year of Medicaid experience.
• Customer service experience.
• Call center experience.

Nice To Haves

• Remote work experience.

Responsibilities

• Conduct outreach to members, answer inbound calls, and schedule services.
• Serve as a point of contact for members, providers, and staff to resolve issues.
• Contact members about care-plan next steps, health plan and community resources, scheduling questions or concerns, and ongoing education.
• Help members connect with health plan and community resources to support high-quality customer care and service.
• Apply working knowledge of assigned health plan activities and resources.
• Respond to member and provider inquiries, requests, and concerns, including explaining care-plan procedures and protocols.
• Support member onboarding and day-to-day administrative tasks, including sending welcome letters, correspondence, and educational materials.
• Document and maintain non-clinical member records in accordance with standards, policies, and state and regulatory requirements, and provide records to providers as needed.
• Use knowledge of local benefits and resources to refer members for Social Determinants of Health needs.
• Perform other duties as assigned and comply with all policies and standards.

Benefits

• Medical, dental, and vision coverage, subject to eligibility.
• Critical illness, accident, and hospital coverage, subject to eligibility.
• 401(k) retirement plan with pre-tax and Roth post-tax contribution options, subject to eligibility.
• Voluntary life and AD&D insurance for employees and dependents, subject to eligibility.
• Short- and long-term disability coverage, subject to eligibility.
• Health Spending Account (HSA), subject to eligibility.
• Transportation benefits, subject to eligibility.
• Employee Assistance Program, subject to eligibility.
• Time off or leave, including PTO, vacation, or sick leave, subject to eligibility.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED