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Care Management Support Coordinator II – LTSS Medicaid Services
Centene Corporation. Support administrative care management activities, including outreach, answering inbound calls, and scheduling services .
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, documentation compliance, and coordination of healthcare services. Proficient in utilizing web-based systems and understanding local resources to support member needs effectively.
Highest-signal resume keywords
Outbound Call ExperienceHealthcare Authorization ProcessingMember Outreach CoordinationKnowledge of Local ResourcesDetail-Oriented
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 Authorization ProcessingMember DocumentationService CoordinationOutbound Calling
Soft Skills
Detail-OrientedFlexibleQuick Learner
Tools & Technologies
Web-Based SystemsCMS Platforms
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Long-Term Services and SupportsSocial Determinants of HealthMember OnboardingProvider InquiriesHealth Plan Resources
About the role
Key responsibilities & impact- Support administrative care management activities, including outreach, answering inbound calls, and scheduling services
- Serve as a point of contact to members, providers, and staff to resolve issues
- Document member records in accordance with current state and regulatory guidelines
- Provide phone outreach to members regarding care plan next steps, community or health plan resources, scheduling questions or concerns, 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 day-to-day administrative duties
- Send welcome letters, correspondence, and program educational materials
- Maintain non-clinical member records and 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, flexible, and a quick learner
- Comfortable using web-based systems and CMS platforms
- Knowledge of existing benefits and local resources
- 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
- 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
- Benefits may be subject to program eligibility