Care Management Support Coordinator III

Position Purpose

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.

Responsibilities

• 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
• Serves as 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
• May apply in-depth knowledge of assigned health plan(s) activities and 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
• Supports training of new hires
• 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

Requirements

• Minimum of 2+ years experience directly supporting clinical NICU teams

Qualifications

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

Skills

• Excellent communication and interpersonal skills
• Strong organizational and problem-solving abilities
• Ability to manage multiple tasks and prioritize effectively
• Knowledge of health plan activities and resources

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• A flexible approach to work with remote, hybrid, field or office work schedules

Pay

$20.39 - $34.71 per hour

Schedule

Remote Role