Care Management Support Coordinator II – LTSS Medicaid Services

Job not on LinkedIn

🔥 3 hours ago

🐊 Florida, Illinois, +8 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• Support administrative care management activities, including outreach, answering inbound calls, and scheduling services • Serve as a point of contact to members, providers, and staff to resolve issues • Document member records in accordance with current state and regulatory guidelines • Provide phone outreach to members regarding care plan next steps, community or health plan resources, scheduling questions or concerns, and ongoing education • Connect members with health plan and community resources • Apply working knowledge of assigned health plan activities and resources • Provide front-line support for member and provider inquiries, requests, and concerns • Explain care plan procedures and protocols • Support member onboarding and day-to-day administrative duties • Send welcome letters, correspondence, and program educational materials • Maintain non-clinical member records and provide records to providers as needed • Make referrals to address Social Determinants of Health needs • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• High School diploma or GED • Requires 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 • Detail-oriented, flexible, and a quick learner • Comfortable using web-based systems and CMS platforms • Knowledge of existing benefits and local resources • Must work Monday–Friday, 8:00 AM–5:00 PM or 8:30 AM–5:00 PM EST

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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 • Benefits may be subject to program eligibility