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Care Coordinator II
Centene Corporation. Provide non-clinical administrative support to the care management team .
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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