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Care Management Support Coordinator II – LTSS Medicaid Services
Centene Corporation. Support administrative care management activities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in administrative care management, member outreach, and healthcare authorization processes. Proficient in using web-based systems and CMS platforms while ensuring compliance with regulatory requirements.
Highest-signal resume keywords
Healthcare Authorization ProcessingMember Outreach ExperienceRemote Call Center ExperienceDetail-OrientedLong-Term Services and Supports (LTSS) Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Administrative Care ManagementHealthcare CoordinationService SchedulingNon-Clinical Record MaintenanceOutbound CallingIssue ResolutionCare Plan ExplanationReferral Making
Soft Skills
FlexibilityQuick LearningCommunication
Tools & Technologies
Web-Based SystemsCMS Platforms
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Social Determinants of HealthMember SupportProvider SupportRegulatory Compliance
About the role
Key responsibilities & impact- Support administrative care management activities
- Perform outreach to members by phone
- Answer inbound calls
- Schedule services
- Serve as a point of contact for members, providers, and staff
- Resolve member and provider issues
- Document and maintain non-clinical member records according to state and regulatory requirements
- Support care plan next steps, community or health plan resources, scheduling questions, 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
- Make referrals to address Social Determinants of Health needs
- Comply with all policies and standards
- Perform other duties as assigned
Requirements
What you’ll need- 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
- Comfortable using web-based systems and CMS platforms
- Detail-oriented, flexible, and a quick learner
- 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
- Must work Monday–Friday, 8:00 AM–5:00 PM or 8:30 AM–5:00 PM EST
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off
- 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