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Centene Corporation
Centene Corporation
ApdrošināšanaKonsultācijasVeselības aprūpe
Centene Corporation ir veselības aprūpes un apdrošināšanas uzņēmums, kas koncentrējas uz valsts atbalstītu segumu un kopienu veselību. Tā pakalpojumi ietver Medicaid, Medicare, Health Insurance Marketplace plānus un TRICARE atbalstu militārajām kopienām. Centene apvieno aprūpes nodrošināšanu vietējā līmenī ar partnerību ar bezpeļņas organizācijām, lai apmierinātu to biedru vajadzības, kuriem tā sniedz pakalpojumus. Uzņēmums savā darbībā un kopienu atbalstā ņem vērā arī vides atbildību un ētisku pārvaldību.
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Vakances uzņēmumā

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.

USAmerikas Savienotās ValstisFLFloridaMIMičiganaNCZiemeļkarolīnaPAPensilvānijaSCDienvidkarolīnaTXTeksasaVAVirdžīnijaWVRietumvirdžīnija
17 $ – 28 $ / stunda
AttālinātiPilna slodzeJaunākais speciālistsGrāds nav nepieciešamsNepieciešamā Valoda: angļuAprūpes koordinatorsVispārīgi

Apraksts

  • 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

Prasības

  • 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

Priekšrocības

  • 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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