Care Management Support Coordinator II

🔥 5 minutes ago

🐊 Florida, North Carolina, +6 more states – Remote

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

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 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, inbound calls, and service scheduling • Serve as a point of contact for members, providers, and staff to resolve issues • Document member records according to current state and regulatory guidelines • Provide phone outreach to members regarding care-plan next steps, resources, scheduling, questions, 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 administrative duties, including welcome letters, correspondence, and educational materials • Maintain non-clinical member records and provide records to providers as needed • Make referrals addressing Social Determinants of Health needs • Perform other assigned duties and comply with 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, adaptable, hands-on learner • Proficient with web-based and CMS systems • Availability Monday–Friday, 8 am–5 pm or 8:30 am–5 pm (EST)

🏖️ Benefits

• Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off • Paid holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential additional forms of incentives