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Care Management Support Coordinator II
2 months ago
Care Management Support Coordinator II
BC Forward is looking for Care Management Support Coordinator II (REMOTE)
Position Title: Care Management Support Coordinator II (REMOTE)
Location: ?REMOTE - EST/CST
Anticipated Start Date: 9/16
Expected Duration: 3 months
Job Type: Contract to Hire
Shift: 8a-5p EST
Pay Rate: $20.00/hr on W2
Need: 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 Health
Describe 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 duties
Thorough 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 required
Knowledge of medical terminology
Time management & organizational skills are a MUST
Education/Experience:
Requires a High School diploma or GED
Requires 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) 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 228314 when responding to this ad.
