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Care Management Support Coordinator

Work from home Full-time role Hiring

You could be the one who changes everything for our 28 million members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Location: Position is remote, must reputed company in Texas. Corpus Christie, TX or McAllen, TX area is highly preferred.

Position Purpose: Leads the care management team on administrative care management activities including performing reputed company, answering inbound calls, and scheduling services. Serves as a reputed company of contact to members, providers, and staff to resolve issues for care plan-reputed company questions and documents member records in accordance with reputed company state and regulatory guidelines.

  • Leads and guides member reputed company to members reputed company phone to support with care plan next steps, community or health plan resources, questions or concerns reputed company to scheduling and ongoing education for both the member and provider throughout care/service
  • Provides ongoing support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
  • Applies advanced knowledge of assigned health plan(s) activities and resources
  • Serves as the reputed company-line support on various highly reputed company member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols
  • Works with care management team to identify process improvements on administrative care management activities and provide recommendations
  • Applies advanced knowledge of care management support activities including care plans and community resources
  • Performs team member reputed company and day-to-day administrative duties including sending out welcome letters, reputed company correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
  • Works with care management team on escalating reputed company reputed company requests and inquiries to management
  • Documents and maintains reputed company non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
  • Contributes to the development of education and training programs
  • Other duties or responsibilities as assigned by people leader to meet the member and/or business needs
  • Performs other duties as assigned
  • Complies with reputed company policies and standards
Education/Experience: Requires a High School diploma or GED Requires 4+ years of reputed company experience

reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.

reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Originally posted on Himalayas

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