Care Management Support Coordinator IV – Team Lead

Job not on LinkedIn

🔥 6 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $22 - $38 / hour

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

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

• Lead the care management team on administrative care management activities, including outreach, inbound calls, and service scheduling • Serve as a point of contact for members, providers, and staff to resolve care plan-related questions and document member records • Lead member outreach by phone to support care plan next steps, community or health plan resources, scheduling questions, and ongoing education • Support members in connecting with health plan and community resources • Apply advanced knowledge of assigned health plan activities and resources • Provide front-line support for complex member and provider inquiries, requests, and concerns • Identify process improvements and provide recommendations • Apply advanced knowledge of care management support activities, care plans, and community resources • Perform team member onboarding and day-to-day administrative duties, including welcome letters, correspondence, and educational materials • Escalate very complex requests and inquiries to management • Document and maintain non-clinical member records in accordance with state and regulatory requirements • Contribute to education and training programs • Perform other assigned duties and comply with policies and standards

🎯 Requirements

• High School diploma or GED • 4+ years of related experience • Texas DFPS background check required • 2+ years of care coordination experience supporting diverse populations, including children, adolescents, adults, and older adults • Experience with, or working knowledge of, PSON and MNSF workflow processes • 2+ years of experience with STAR Health, STAR Kids, STAR+PLUS, Duals, Medicaid, and/or Medicare programs • Strong documentation skills with demonstrated audit performance in TruCare Cloud • Demonstrated professionalism, diplomacy, adaptability, and attention to detail in a fast-paced environment • Proficiency with Microsoft Office Suite, including Excel, OneNote, PowerPoint, and Outlook • Excellent problem-solving, organization, time management, and communication skills • Ability to adapt quickly to changing business priorities while maintaining flexibility and professionalism • Ability to communicate data, findings, and recommendations clearly to cross-functional stakeholders

🏖️ Benefits

• Health insurance • 401K plan • 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 • Equal opportunity employer committed to diversity