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Care Coordinator III
Centene Corporation. Support Long Term Care Care Coordination through member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in care coordination, member outreach, and service assessments while ensuring compliance with regulatory guidelines and maintaining accurate member records. Proficient in collaborating with healthcare providers and community organizations to enhance member satisfaction and continuity of care.
Highest-signal resume keywords
Care CoordinationService AssessmentsMember OutreachRegulatory ComplianceHealthcare Administration
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Service AssessmentsDocumenting Member RecordsManaging Complex NeedsMedical TerminologyCare Management Services
Soft Skills
CommunicationProblem-SolvingInterpersonal SkillsTraining and Development
Industry Keywords
Managed CareHealthcare OperationsRegulatory GuidelinesContinuity of CareMember Satisfaction
About the role
Key responsibilities & impact- Support Long Term Care Care Coordination through member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up
- Support the senior care management team and assigned member teams to ensure provider services, continuity of care, and member satisfaction
- Conduct member outreach by phone or home visits to discuss care plans, resources, questions, concerns, and ongoing education
- Coordinate care activities with healthcare and community providers, partners, members, and caregivers
- Respond to member and provider inquiries, requests, and concerns related to care plans
- Communicate with care managers, practitioners, and others to facilitate member services
- Perform service assessments and screenings and document member care needs
- Maintain member records and distribute documentation to providers as needed
- Triage, adjust, and escalate complex requests to management
- Identify needs and make referrals to Care Managers, community-based organizations, and Disease Managers
- Provide education on available benefits and resources
- Assist with training and development needs
- Comply with policies, contractual requirements, regulatory guidelines, and standards
- Perform other duties as assigned
Requirements
What you’ll need- Must reside in Ohio
- High School diploma or GED
- Requires 2 - 4 years of related experience
- Preference for experience in managed care, physician office or health system operations, healthcare administration, and/or medical terminology
- Ability to work 8am-5pm ET, with potential overtime including evenings and weekends
- Ability to travel up to 10% to various Ohio offices for essential business meetings
- Knowledge of care management services and handling complex or escalated issues
- Ability to perform service assessments/screening for members with complex needs
- Ability to document member records in accordance with state and regulatory requirements
- Knowledge of contractual requirements and regulatory guidelines and standards
Benefits
Comp & perks- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- Holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Potential overtime, including evenings and weekends as needed