LogoFresh Jobs Ahead
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.
LinkedIn
Locurile de muncă ale companiei

Care Management Support Coordinator IV Team Lead - Texas Remote

Lead administrative care management support for Centene members in Texas, coordinating outreach, scheduling, resources, and documentation. Serve as a senior point of contact for members, providers, and staff while guiding team operations.

USStatele Unite ale AmericiiTXTexas
22 $ – 38 $ / oră
RemoteNormă întreagăSeniorLimbă Obligatorie: englezăCoordonator de îngrijireGeneral
Cloud

Descriere

  • Direct administrative care management functions, including member outreach, inbound calls, and service scheduling
  • Act as a primary contact for members, providers, and staff regarding care plan questions, while maintaining accurate records
  • Conduct phone outreach to explain care plan next steps, answer scheduling questions, share resources, and provide ongoing education
  • Help members access health plan and community-based resources
  • Use advanced knowledge of assigned health plan programs, activities, and available resources
  • Handle complex member and provider questions, requests, and concerns as a frontline support resource
  • Recommend improvements to care management processes
  • Apply advanced expertise in care management support, care plans, and community resources
  • Onboard team members and manage daily administrative materials, including welcome letters, correspondence, and educational content
  • Refer highly complex inquiries and requests to management
  • Maintain non-clinical member documentation in compliance with state and regulatory standards
  • Support education and training initiatives
  • Complete additional assigned responsibilities while following organizational policies and standards

Cerințe

  • High school diploma or GED
  • At least four years of related professional experience
  • Successful completion of a Texas DFPS background check
  • At least two years of care coordination experience serving diverse populations, including children, adolescents, adults, and older adults
  • Experience with or working knowledge of PSON and MNSF workflow processes
  • At least two years of experience with STAR Health, STAR Kids, STAR+PLUS, Duals, Medicaid, and/or Medicare programs
  • Strong documentation abilities with demonstrated audit performance in TruCare Cloud
  • Professional, diplomatic, adaptable, and detail-oriented approach in a fast-paced setting
  • Proficiency in Microsoft Office, including Excel, OneNote, PowerPoint, and Outlook
  • Strong problem-solving, organizational, time-management, and communication abilities
  • Ability to adjust quickly to shifting business priorities while remaining flexible and professional
  • Ability to clearly present data, findings, and recommendations to cross-functional stakeholders

Beneficii

  • Health insurance coverage
  • 401(k) plan
  • Employee stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible remote, hybrid, field, or office work arrangements
  • Additional incentives may form part of total compensation
  • Equal opportunity employment with a commitment to diversity

Locuri de muncă similare

Kreato Global | BPO and Language Solutions

Remote English-Spanish OPI/VRI Interpreter

Kreato Global | BPO and Language Solutions
201 – 500 Angajați
Asistență medicalăLogisticăOspitalitate
ARArgentinaBOBoliviaBRBraziliaCLChileCOColumbiaCRCosta RicaCUCubaDORepublica DominicanăECEcuadorGTGuatemalaHNHondurasHTHaitiMXMexicNINicaraguaPAPanamaPEPeruPRPuerto RicoPYParaguaySVEl SalvadorUYUruguayVEVenezuelaRemoteNormă întreagăJuniorNu este necesară o diplomăLimbă Obligatorie: englezăLimbă Obligatorie: spaniolăTraducător

Interpret remotely between English- and Spanish-speaking people in medical, financial, social service, and customer care settings. Provide language support for Kreato Global across Latin America.

Deschide