Care Management Support Coordinator II - J01003

Description

Remote PST location.

Monday to Friday. 8:00 am to 5:00 PM PST NO OT.

Staff are expected to maintain an average of 60-70 calls per day to be successful in this CMSC role.

Position Purpose:

Supports administrative care management activities including performing outreach answering inbound calls and scheduling services. Serves as a point of contact to members providers and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.

• Provides outreach to members via phone to support with care plan next steps community or health plan resources questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service
• Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
• May apply working knowledge of assigned health plans activities and resources
• Serves as the front-line support on various member and/or provider inquiries requests or concerns which may include explaining care plan procedures and protocols
• Supports member onboarding and day-to-day administrative duties including sending out welcome letters related correspondence and program educational materials to assist in the facilitation of a successful member/provider relationship
• Documents and maintains 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
• Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health SDOH needs

Experience Level

Entry Level