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BusinessOperations - Care Management Support Coordinator II - J01003
Mindlance
🇺🇸 United States
Remote
Manager or above
1 week ago
- Outlook
- Excel
1 week ago
Not enough detail in this posting to match
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.
Education/Experience:
Requires a High School diploma or GED
Requires 1 – 2 years of related experience
License/Certification:
For Florida-Sunshine Health Plan - All interactions with members are done telephonically
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
EEO:
“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
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| Story Behind the Need | ||
| The Team member work on obtaining Physician Signature Of Need and Medical Necessity forms that are signed by the PCP. 2. Backfill for FTEs 3. We work remote but have interaction with each other through IM and virtual team meetings. 4. No | |
| Typical Day in the Role | ||
|
Applications Centene – Trucare, Sharepoint, Amysis, impact pro, cloud, Applications other – Teams, Outlook, excel, one note (daily), faxcom | |
| Candidate Requirements | ||
| Education/Certification | Required: HS Diploma or GED | Preferred: |
| Licensure | Required: None | Preferred: |
| Years of experience required: 2 years of Medical Experience. Call center, PCP office experience and/or managed care experience. MUST HAVE A CELL PHONE FOR VPN LOGIN Disqualifiers: Overqualified for this position, MUST be able to work independently and ability to troubleshoot, Per HIPPA must have a professional & private area to work, job hopping (please state if contract and if completed), position longevity (manager wants someone that is serious about the role and wanting to grow with Centene) Additional qualities to look for: Multi-tasking, computer literate | ||
| 1 | Must be able to work remote/independently/troubleshooting skills |
| 2 | Computer literate-type at least 50 words per minute | |
| 3 | Knowledge of Excel, Outlook and Teams, One note, computer savvy in general | |
| Candidate Review & Selection | ||
| Projected Manager Candidate Review Date: | 1-2 days post shortlisting |
Type of Interviews: | Teams CAMERA ON | |
| Required Testing or Assessment (by Vendor): | TYPING TEST 50 WPM, 95% accuracy Attach with the resume please | |
| Next Steps | ||
| No | |
| Graciela Avila-Solis |
BusinessOperations - Care Management Support Coordinator II - J01003 · Mindlance