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Care Management Support Coordinator II – LTSS Medicaid Services
Centene Corporation. Perform administrative care management activities, including member/provider outreach, inbound call handling, and service scheduling .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in administrative care management, including member outreach, service scheduling, and processing healthcare authorizations. Proficient in utilizing web-based systems and CMS platforms to support high-quality care and member services.
Highest-signal resume keywords
Member OutreachHealthcare Authorization ProcessingCall Center ExperienceDetail-OrientedKnowledge of Local Resources
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 ManagementService SchedulingHealthcare Authorization ProcessingMember Record DocumentationOutbound Call Handling
Soft Skills
Detail-OrientedAdaptableFlexibleQuick LearnerHands-On Learner
Tools & Technologies
Web-Based SystemsCMS Platforms
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Long-Term Services and SupportsSocial Determinants of HealthMember OnboardingProvider InquiriesRegulatory Compliance
About the role
Key responsibilities & impact- Perform administrative care management activities, including member/provider outreach, inbound call handling, and service scheduling
- Serve as a point of contact to members, providers, and staff to resolve issues
- Provide phone outreach regarding care plan next steps, community or health plan resources, scheduling questions, concerns, and ongoing education
- Connect members with health plan and community resources to support high-quality care/service
- Apply working knowledge of assigned health plan activities and resources
- Provide front-line support for member and provider inquiries, requests, and concerns, including explaining care plan procedures and protocols
- Support member onboarding and daily administrative duties, including sending welcome letters, correspondence, and educational materials
- Document and maintain non-clinical member records in accordance with state and regulatory requirements
- Provide records to providers as needed
- Make referrals to address Social Determinants of Health needs
- Perform other duties as assigned
- Comply with all policies and standards
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
- 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
- Detail-oriented, adaptable, flexible, quick learner, and hands-on learner
- Comfortable and proficient using web-based systems and CMS platforms
- Knowledge of existing benefits and local resources
- Ability to work Monday–Friday, 8 am–5 pm or 8:30 am–5 pm EST
Benefits
Comp & perks- Health insurance
- 401K
- 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