PA Health & Wellness · 1 day ago
Care Management Support Coordinator II
Texas, United States
Full-time
Onsite
Entry Level
$17.84/hr - $28.02/hr
1+ years expCentene is transforming the health of our communities, one person at a time. The Care Management Support Coordinator II supports administrative care management activities, serves as a point of contact to members and providers, and documents member records in accordance with state and regulatory guidelines.
FitnessHealth CareWellness
Responsibilities
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
Required
High School diploma or GED
1 – 2 years of related experience
Candidate MUST live in TX
Preferred
Prefer candidate to live in/around Corpus Christi, TX
Knowledge of existing benefits and resources locally
Ability to address Social Determinants of Health (SDOH) needs
Benefits
Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
PA Health & Wellness
Established to deliver quality healthcare in the state of Pennsylvania through local, regional and community-based resources, PA Health & Wellness is a Managed Care Organization and subsidiary of Centene Corporation (Centene).
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Justin Davis
President and Chief Executive Officer
Recent News
Company data provided by crunchbase