Care Management Support Coordinator II - LTSS Medicaid Services
About the role
Position Purpose: 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. At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
- Comply with all policies and standards
Requirements
- High School diploma or GED
- 1–2 years of related experience
- At least 2 years of experience making outbound calls to members or providers in a remote call center environment
- 2+ years of experience processing healthcare or insurance authorizations and coordinating services for members or providers
- Preferred: 2+ years supporting adults age 21+ receiving Long-Term Services and Supports (LTSS)
- Preferred: 2+ years of member or provider outreach in a fully outbound call environment
- Preferred: 2+ years processing healthcare/insurance authorizations and coordinating member or provider services
Skills
- Detail-oriented
- Flexible
- Quick learner
- Comfortable using web-based systems and CMS platforms
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible work arrangements (remote, hybrid, field, or office)
Pay
$17.84 - $28.02 per hour
Schedule
Monday–Friday, 8:00 AM–5:00 PM or 8:30 AM–5:00 PM (EST)