Centene Corporation
Centene Corporation
Centene Corporation — үкімет қаржыландыратын медициналық сақтандыруға және қоғам денсаулығына бағытталған денсаулық сақтау және сақтандыру компаниясы. Оның қызметтеріне Medicaid, Medicare, медициналық сақтандыру маркетплейсінің жоспарлары және әскери қауымдастықтарға арналған TRICARE қолдауы кіреді. Centene қызмет көрсететін мүшелердің қажеттіліктерін қанағаттандыру үшін жергілікті медициналық көмек көрсетуді коммерциялық емес ұйымдармен серіктестікпен ұштастырады. Компания сондай-ақ өз қызметін жүргізу және қауымдастықтарды қолдау тәсіліне экологиялық жауапкершілік пен этикалық басқару қағидаттарын енгізеді.

Care Management Support Coordinator II - Medicaid LTSS (Remote)

Support Medicaid LTSS members through care-management outreach, scheduling, authorizations, resource referrals, and administrative coordination. Connect members and providers with health-plan and community services while assisting with care-plan needs.

Сипаттама

  • Coordinate administrative care-management work, including member outreach, inbound calls, and service scheduling
  • Act as a primary contact for members, providers, and internal staff by addressing and resolving issues
  • Maintain accurate member documentation in line with applicable state and regulatory requirements
  • Contact members by phone about care-plan actions, resources, appointments, questions, concerns, and continuing education
  • Link members to health-plan services and community-based resources
  • Use knowledge of assigned health-plan processes and available resources to support care delivery
  • Handle initial member and provider questions, requests, and concerns
  • Explain care-plan procedures, requirements, and protocols
  • Assist with member onboarding and related administration, including welcome letters, correspondence, and educational content
  • Maintain non-clinical member records and supply records to providers when requested
  • Refer members to services that address Social Determinants of Health needs
  • Complete additional assigned responsibilities while following organizational policies and standards

Талаптар

  • High school diploma or GED
  • One to two years of related professional experience
  • At least two years conducting outbound calls with members or providers in a remote call-center setting
  • Two years processing healthcare or insurance authorizations and coordinating services for members or providers
  • Preferred: two or more years supporting adults aged 21 and older who receive Long-Term Services and Supports (LTSS)
  • Preferred: two or more years conducting member or provider outreach in a fully outbound call environment
  • Preferred: two or more years processing healthcare or insurance authorizations and coordinating member or provider services
  • Detail-oriented, adaptable, and comfortable learning through hands-on experience
  • Proficiency with web-based platforms and CMS systems
  • Able to work Monday through Friday from 8:00 a.m. to 5:00 p.m. or 8:30 a.m. to 5:00 p.m. Eastern Time

Артықшылықтар

  • Health insurance coverage
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off
  • Paid holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Potential eligibility for additional incentives

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