Care Management Support Coordinator III

Centene Management Company•Milwaukee, WI

14h•Hybrid

About The Position

Centene is transforming the health of its communities, one person at a time. This hybrid-remote role involves member outreach, connecting members with community resources including housing support, building relationships, assisting with provider and member inquiries, supporting performance improvement projects aimed at reducing health disparities, and performing various administrative duties. Preference is given to applicants residing in the greater Milwaukee area (due to up to 20% local travel), with experience serving vulnerable and diverse populations in administrative/customer service roles within healthcare settings. Managed Care or Medicaid experience is a plus. The role is in the Quality department, within the Managed Health Services WI business unit, with a schedule of Monday through Friday, 8 AM to 5 PM or 8 AM to 4:30 PM CT.

Requirements

Requires a High School diploma or GED
Requires 2 - 4 years of related experience

Nice To Haves

Reside in the greater Milwaukee area (due to up to 20% local travel)
Experience serving vulnerable and diverse populations in administrative / customer service roles in healthcare settings
Managed Care or Medicaid experience

Responsibilities

Performs 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.
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 experienced support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service.
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.
Works with the 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.