Care Management Support Coordinator II at Superior HealthPlan
McAllen, TX 78501, USA -
Full Time


Start Date

Immediate

Expiry Date

04 Dec, 25

Salary

27.5

Posted On

04 Sep, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Hospital/Health Care

Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

How To Apply:

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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 standard
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