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Centene Corporation
Centene Corporation
AsigurăriAsistență medicalăConsultanță
Centene Corporation este o companie de servicii medicale și asigurări axată pe acoperirea finanțată de guvern și pe sănătatea comunităților. Serviciile sale includ Medicaid, Medicare, planuri din cadrul pieței asigurărilor de sănătate și sprijin TRICARE pentru comunitățile militare. Centene combină furnizarea localizată de servicii medicale cu parteneriatele cu organizații nonprofit pentru a răspunde nevoilor membrilor pe care îi deservește. Compania integrează, de asemenea, responsabilitatea față de mediu și guvernanța etică în modul său de operare și de sprijinire a comunităților.
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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.

USStatele Unite ale AmericiiFLFloridaMIMichiganNCCarolina de NordPAPennsylvaniaSCCarolina de SudTXTexasVAVirginiaWVVirginia de Vest
17 $ – 28 $ / oră
RemoteNormă întreagăJuniorNu este necesară o diplomăLimbă Obligatorie: englezăCoordonator de îngrijireGeneral

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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