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Care Management Support Coordinator II

2 months ago

Urbandale, United States BCforward Full time

Care Management Support Coordinator II

BCForward is looking for Care Management Support Coordinator II in West Des Moines, IA 50266 (Hybrid)

Position: Care Management Support Coordinator II

Location: West Des Moines, IA 50266 (Hybrid)

Duration: 4 Months

Job Type: Full Time/ W2

Shift: 8am-5pm CST Mon-Fri, OT occasionally required

Pay Range: $20.00/hr on W2

Job Discerption:

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.

  • Outbound mailing/emailing/faxing of member documents
  • Uploading inbound mail and faxes
  • Member assignments and reassignments
  • Handle member and provider calls through phone queue
  • OMNI workbasket items
  • Creating and sending Unable to Reach letters
  • Case Closures
  • Processing member address changes
  • Electronic Visit Verification administrative tasks
  • Outbound calling to conduct IPES surveys
  • Other duties as assigned
  • Must meet or exceed productivity standards, per annual team goals (2024 goal is to average at least 3 points per hour worked)
  • Must meet or exceed quality standards, per annual team goals (2022 goal is to average at least 94% accuracy in chart audits per month/per year)
  • Must meet or exceed statistical standards in the phone queue, per annual team goals (2024 goal is to average less than 2.5 hrs of aux time and answer 98% of calls offered)
Required Skills/Experience:
  • 0-2 years of health care experience.
  • General computer knowledge including MS Office Excel, Word and Outlook
Preferred Skills/ Experience:
  • Familiarity with Iowa Medicaid's waiver program preferred
  • Familiarity with medical terminology preferred
Education/Experience:
  • Requires a High School diploma or GED
  • Requires 1 - 2 years of related experience
  • 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


Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 225271 when responding to this ad.