Care Coordinator II

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Provide non-clinical administrative support to the care management team • Handle inbound and outbound calls supporting care management services • Manage call queues, tasks, and referrals • Gather information by phone to determine eligibility for care management enrollment • Route referrals to appropriate clinical or nursing teams • Conduct member outreach by phone or home visits • Discuss care plans/service plans, next steps, resources, questions, and concerns with members • Coordinate care activities with healthcare and community providers, partners, members, and caregivers • Support member and provider inquiries related to care plans/service plans • Communicate with care managers, practitioners, and others to facilitate member services and continuity of care • Support service assessments/screenings and document member care needs • Document and maintain member records and distribute them to providers as needed • Provide education on benefits and resources • Perform other duties as assigned and comply with policies and standards

🎯 Requirements

• High School diploma or GED • 1–2 years of related experience • Ability to handle inbound and outbound calls • Ability to manage call queues, tasks, and referrals in a timely manner • Ability to gather information by phone to determine eligibility for care management enrollment • Ability to route referrals to appropriate clinical or nursing teams • Ability to perform member outreach telephonically or through home visits • Ability to document and maintain member records in accordance with state and regulatory requirements • Ability to follow contractual requirements, regulatory guidelines, and standards • Ability to identify needs and make referrals to Care Manager, community-based organizations, and Disease Manager • Ability to provide education on benefits and available resources

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules • additional forms of incentives may be included in total compensation