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Care Management Support Coordinator II - J01003

Other Area(s)

Contract
Location Requirements: Remote
Job ID: 43663

Job Description

Position Purpose:
Supports 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.

NOTE: Position is Remote in the Corpus Christi area. Training will be in the office, then the position is remote.

Education/Experience:
Requires a High School diploma or GED
Requires 1 - 2 years of related experience.
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

Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service

May apply working knowledge of assigned health plan(s) activities and resources

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

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

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

Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs
Performs other duties as assigned

Complies with all policies and standards

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About Corpus Christi, TX

Ready to launch your career in the vibrant city of Corpus Christi, Texas? Nestled along the stunning Gulf Coast, this dynamic region boasts a blend of bustling industry and laid-back coastal charm. From the iconic USS Lexington Museum to the delectable Gulf seafood cuisine, Corpus Christi offers job seekers a unique mix of cultural experiences. Explore the enchanting Botanical Gardens, catch a show at the Harbor Playhouse, or cheer on the Hooks at Whataburger Field. With a booming economy, top-notch art galleries like the Art Museum of South Texas, and endless outdoor recreational activities, Corpus Christi is the perfect place to grow both personally and professionally. Discover exciting job opportunities in this captivating area and take your career to new heights!

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