Care Management Support Coordinator III (NICU)

Centene Corporation•Remote-MO, MO

7d•$20 - $35•Remote

About The Position

Works with care management team on 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 experienced 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 in-depth 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. Applies in-depth knowledge of care management support activities including care plans and community resources. 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. Works with care management team on escalating requests and inquiries to management. 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. May support training of new hires. Performs other duties as assigned. Complies with all policies and standards.

Requirements

High School diploma or GED
2 - 4 years of related experience
2 - 4 years experience supporting Clinical NICU Teams

Responsibilities

Performing outreach
Answering inbound calls
Scheduling services
Serving as a point of contact to members, providers, and staff to resolve issues
Documenting member records in accordance with current state and regulatory guidelines
Providing 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
Providing experienced support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
Applying in-depth knowledge of assigned health plan(s) activities and resources
Serving as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols
Applying in-depth knowledge of care management support activities including care plans and community resources
Supporting 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
Working with care management team on escalating requests and inquiries to management
Documenting and maintaining 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
Supporting training of new hires
Performing other duties as assigned
Complying with all policies and standards