Care Management Support Coordinator II
About The Position
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. Applicants must reside in Oklahoma. The ideal candidate will have healthcare experience and be highly organized, self-motivated, and computer savvy. The candidate should also have call center experience and demonstrate excellent customer service and communication skills. The standard work schedule is Monday through Friday, from 8:00 AM to 5:00 PM, with evening and weekend work required based on program and client needs.
Requirements
- Requires a High School diploma or GED
- Requires 1 – 2 years of related experience
- Must reside in Oklahoma
- Healthcare experience
- Highly organized
- Self-motivated
- Computer savvy
- Call center experience
- Excellent customer service skills
- Excellent communication skills
Responsibilities
- 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
- stock purchase plans
- tuition reimbursement
- paid time off
- holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
