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Pyramid Consulting, Inc · 2 months ago

Care Management Support Coordinator II

United States

Full-time

Remote

Entry Level

$21/hr - $23/hr

1+ years exp

Pyramid Consulting, Inc. is a leading company in the Healthcare Industry, currently seeking a Care Management Support Coordinator II. The role involves making outbound calls to support the Care Management team, enrolling members into the program, and providing assistance with care plans and community resources.

ConsultingInformation TechnologyLegalProfessional ServicesSoftwareStaffing Agency

Growth Opportunities

H1B Sponsor Likely

Responsibilities

Call Center making outbound calls supporting Care management Team

Fast Paced Call Center -making outbound calls to existing members

Calling existing members and discussing member’s care/ medical reasons for members to sign up for the program

Enrolling members into Care Management program

Production/Sales based role-They will be monitored on the number of members they sign up for program, call volume and caseload

Making a minimum of 60 calls per day in a fast-paced environment

Data Entry into True Care

Ability to navigate multiple systems

Excel exp required for basic reporting

Healthcare experience required!

Call Center Experience Required

Sales experience highly preferred ability to make sale pitch to existing members

Role may change at some point-must be open to change and flexible on types of calls they are making (depends on need of business) they will remain on the phones but the types of calls they handle can vary

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 plan(s) 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

Performs other duties as assigned

Complies with all policies and standards

Qualification

HealthcareCall CenterData EntrySales ExperienceFlexibility

Required

Requires a High School diploma or GED

Requires 1 – 2 years of related experience