Care Management Support Coordinator III

Centene CorporationMilwaukee, WI
$20 - $35Hybrid

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, providing general support for performance improvement projects aimed at reducing health disparities, and performing various assigned administrative duties. Preference will be given to applicants who reside in the greater Milwaukee area (due to up to 20% local travel), have experience serving vulnerable and diverse populations in administrative/customer service roles in healthcare settings, and have Managed Care or Medicaid experience.

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.
  • 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 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.

Benefits

  • competitive pay
  • health insurance
  • 401K
  • stock purchase plans
  • tuition reimbursement
  • paid time off
  • holidays
  • a flexible approach to work with remote, hybrid, field or office work schedules
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