Care Management Support Coordinator II

2 weeks ago

St Louis, United States BCforward Full time

Care Management Support Coordinator IIBC Forward is looking for Care Management Support Coordinator II (REMOTE) Position Title: Care Management Support Coordinator II (REMOTE) Location: ?REMOTE - EST/CSTAnticipated Start Date: 9/16Expected Duration: 3 monthsJob Type: Contract to HireShift: 8a-5p ESTPay Rate: $20.00/hr on W2Need: Experience with high Volume Inbound/outbound calls and Medical terminology. Job Description:Position Purpose: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. Walk me through the day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):* Assist in activities related to the medical and psychological aspects of utilization and coordinated care* Outreach attempts via telephone to members assigned each day* Consistently updating an excel spreadsheet with member assignments listed* Consistent communication with supervisor * With each phone call- documentation is required in Virtual HealthDescribe the performance expectations/metrics for this individual and their team:* Must be able to make high volume of outbound calls* Medical terminology* Reliable home internet is required with dedicated work space due to HIPPA (Hardwire internet connection) - Please put on Resume.* Completing 80-120 phone calls a day to the Medicare Population* Compliance is required to be 100% of all assigned members* Engagement Rate will need to be at 80% or more a month* Time off is not permitted in the first 90 days of employment unless pre-planned during the interview* Audit score of a minimum of 90%* Completion of 600 members a month is required (30 new members daily assigned) Tell me about what their first day looks like:* The candidate is given a meeting invite with the IT department to ensure all equipment and systems are up and running 100%. Once the meeting is completed then the temp associate will be completing all required trainings assigned to them by the supervisor. The trainings will take the entire first week to complete. Once all trainings are completed, then training for the actual job role will take place. Required Skills/Experience:2-3 years managed care setting, medical office or facility setting with demonstration of medical administration dutiesThorough knowledge of customer service, utilization review or claims processing practices in a managed care environment.Operation of office equipment such as a personal computer Preferred Skills/ Experience:Communication skills requiredKnowledge of medical terminologyTime management & organizational skills are a MUST Education/Experience:Requires a High School diploma or GEDRequires 1 - 2 years of related experienceProvides 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 Education Requirement: High school diploma or equivalent 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) needsPerforms other duties as assigned Complies with all policies and standardsBenefits: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 228314 when responding to this ad.

  • Care Management Support Coordinator II

    3 weeks ago

    St Louis, United States TEKsystems Full time

    Hiring for Care Management Support Coordinator (100% Remote Position) Missouri, MO, USA Candidates only Description: Position Purpose: Provide essential administrative support for care management, including outreach, call handling, scheduling, and documentation. Act as a key contact for members, providers, and staff to resolve issues and ensure...

  • Care Management Support Coordinator II

    4 weeks ago

    St. Louis, United States TEKsystems Full time

    Hiring for Care Management Support Coordinator (100% Remote Position) Missouri, MO, USA Candidates only Description: Position Purpose: Provide essential administrative support for care management, including outreach, call handling, scheduling, and documentation. Act as a key contact for members, providers, and staff to resolve issues and ensure...

  • Care Management Support Coordinator II

    3 weeks ago

    St Louis, United States TEKsystems Full time

    Hiring for Care Management Support Coordinator(100% Remote Position)Missouri, MO, USACandidates only Description: Position Purpose: Provide essential administrative support for care management, including outreach, call handling, scheduling, and documentation. Act as a key contact for members, providers, and staff to resolve issues and ensure compliance with...

  • Care Management Support Coordinator II

    3 weeks ago

    St Louis, United States TEKsystems Full time

    Hiring for Care Management Support Coordinator (100% Remote Position) Missouri, MO, USA Candidates only Description: Position Purpose: Provide essential administrative support for care management, including outreach, call handling, scheduling, and documentation. Act as a key contact for members, providers, and staff to resolve issues and ensure...

  • Operations Coordinator II

    2 weeks ago

    St Louis, Missouri, United States The American National Red Cross Full time

    Overview:As an Operations Coordinator II, you will play a vital role in overseeing the daily functions of support services and administrative operations within our regional framework. Your contributions will ensure that our mission-driven organization runs smoothly and effectively.Why Join Us?At the American National Red Cross, we are committed to making a...

  • RN Care Manager II

    2 months ago

    St Louis, United States Mercy Full time

    We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine...

  • Marketing Support Coordinator

    2 weeks ago

    St. Louis, Missouri, United States Advantage Home Care Full time

    Position Overview:Advantage Home Care is in search of a meticulous and highly organized Marketing Support Coordinator. In this role, you will be essential in facilitating our marketing initiatives and ensuring the effective functioning of our marketing department on a daily basis.Compensation:Pay rate ranges from $16 to $18 per hour.Main...

  • Operations Manager II

    1 month ago

    St. Louis, United States Gulfstream Aerospace Full time

    ***This role is eligible for a sign-on bonus!*** Operations Manager II in GAC St. Louis Unique Skills: Ability to manage multiple tasks. Able to work weekends as required to support build and flight operations. Education and Experience Requirements Bachelor's Degree in Engineering, Management, Aviation Maintenance or related...

  • County Administrative Coordinator II

    1 week ago

    St. Augustine, Florida, United States Michigan Farm Bureau Full time

    County Administrative Coordinator II**Job Summary**Michigan Farm Bureau is seeking a highly organized and detail-oriented County Administrative Coordinator II to play a key role in building and maintaining an active and growing county Farm Bureau. The successful candidate will be responsible for encouraging member involvement, developing and supporting...

  • Managed Care Credentialing Representative II

    6 days ago

    St Louis, United States Burrell Behavioral Health Full time

    Job Description: Under limited supervision of the Managed Care Credentialing Lead, the Managed Care Credentialing Representative II is responsible for meeting with providers to complete all onboarding credentialing application documents and tasks as well as working the application file for committee review in accordance with regulatory standards. The...

  • Family Care Coordinator

    3 days ago

    St Louis, Missouri, United States Peoples Family of Corporations Full time

    About the OpportunityWe are seeking a highly skilled and compassionate Family Care Coordinator to join our team at Peoples Family of Corporations. As a key member of our multidisciplinary team, you will play a vital role in planning, coordinating, and facilitating services for our clients and their families.Key ResponsibilitiesAssessment and Care Planning:...

  • MDS Coordinator for Quality Care Management

    2 weeks ago

    St Louis, Missouri, United States River Crossing Rehab and Healthcare Center Full time

    As an MDS Coordinator at River Crossing Rehab and Healthcare Center, you will be instrumental in upholding our high standards of care. We are looking for a dedicated LPN/RN MDS Coordinator to enhance our Management team and contribute to our commitment to excellence. Why Choose the MDS Team? Compassionate Expertise: Our team is devoted to providing...

  • IT Support Coordinator

    2 weeks ago

    St Louis, Missouri, United States Compass Group Careers Full time

    Job DescriptionPosition Title: IT Coordinator - Food and BeverageStarting Pay: $20 per hourJoin our team in delivering exceptional service in the Food and Beverage sector.We Make Applying Easy: Interested candidates can apply via text messaging. Text JOB to 75000 and search requisition ID number.About Us: At Compass Group, we believe that diversity of...

  • Client Support Coordinator

    2 weeks ago

    St Louis, Missouri, United States Coalition for Life St. Louis Full time

    The Client Case Manager role is essential to our mission of promoting life-affirming choices. The ideal candidate will be organized, motivated, and empathetic. This position is demanding yet incredibly rewarding, as you will play a vital role in supporting individuals facing challenging circumstances. We seek individuals with high emotional intelligence who...

  • Client Support Coordinator

    2 weeks ago

    St Louis, Missouri, United States Coalition for Life St. Louis Full time

    Position Overview: The Client Case Manager role is essential to fulfilling our mission of promoting life-affirming choices. The perfect candidate will be detail-oriented, motivated, and empathetic. This position is challenging yet immensely rewarding, as it allows you to play a pivotal role in guiding individuals towards positive decisions for their futures....

  • Sales Support Coordinator

    1 week ago

    St Louis, Missouri, United States Prudential Financial Full time

    About the RolePrudential Financial is seeking a highly motivated and organized Sales Support Administrator to join our team. As a Sales Support Administrator, you will play a critical role in supporting the sales team by providing administrative assistance, coordinating marketing initiatives, and driving business growth.Key ResponsibilitiesRecruiting and...

  • Clinical Service Representative II

    3 days ago

    St Louis, Missouri, United States Washington University in St. Louis Full time

    Job SummaryWashington University in St. Louis seeks a highly motivated and detail-oriented Clinical Service Representative II to provide exceptional patient support in a fast-paced medical office setting. As a key member of our team, you will be responsible for delivering outstanding customer service, ensuring seamless patient experiences, and contributing...

  • Activity Coordinator

    5 days ago

    St Louis, Missouri, United States Frontier Management (OR) Full time

    Job Summary:Frontier Management (OR) is seeking a highly motivated and experienced Activity Director to join our team. As an Activity Director, you will be responsible for creating and implementing engaging activity programs for our residents, promoting their physical, emotional, and social well-being.Key Responsibilities:Conduct assessments to determine...

  • Client Engagement and Support Coordinator

    2 weeks ago

    St Louis, Missouri, United States St. Patrick Center Full time

    Job OverviewPosition Summary:The Client Engagement and Support Coordinator will implement a holistic approach to assist individuals who have transitioned from temporary to stable housing, fostering self-sufficiency and community integration over a one-year period.This role involves managing all intake processes and admissions for the HERO program, conducting...

  • Patient Care Coordinator

    3 days ago

    St Louis, Missouri, United States SSM Health Full time

    Job SummarySSM Health is seeking a skilled Patient Care Coordinator to join our team. As a key member of our healthcare team, you will play a vital role in ensuring the highest level of patient care and satisfaction.Key ResponsibilitiesAct as a liaison between patients, families, healthcare providers, and insurance companies to facilitate effective...