Care Management Support Coordinator II

Centene

127d • $17 - $27 • Remote

About The Position

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 position is remote/work from home with the potential for 10% travel if requested to go to an office hub; primarily will support Central Time Zone states. This role will assist with system go live with TruCare, TruCare Cloud, virtual health including system and script testing, ad hoc projects with designated turnaround time frames, and help with production work as needed when going live. The work schedule is Monday - Friday 8AM - 5PM Central Time Zone, and overtime will be offered when available on a voluntary basis and for production validation. Ideal applicant will have previous Centene TruCare or TruCare Cloud experience.

Requirements

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

Nice To Haves

• Previous Centene TruCare or TruCare Cloud experience.

Responsibilities

• 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.

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Insurance Carriers and Related Activities
• Education Level: High school or GED