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Care Coordinator III
2 months ago
Care Coordinator III
BC Forward is looking for Care Coordinator III (REMOTE) in South Carolina
Position Title: Care Coordinator III (REMOTE)
Locations: Remote - SC (South Carolina) (Need to be local to SC)
Anticipated Start Date: 7/29
Expected Duration: 5 Months
Job Type: Contract with possible extension
Pay Rate: $18.00/hr on W2
Need: 2 yrs. healthcare experience within Medicare/Medicaid. HEDIS, STARS, CAHPS, NCQA experience
Job Description:
Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.
Make outbound calls to members of specific provider groups to provide health reminders and schedule appointments
Make 70 calls per day (10 calls per productive hour); Maintain 99.5% quality score; adhere to attendance guidelines.
Customer Service, Health Care member or provider communication,
Required Skills/Experience:
2+ years of customer service experience, preferably in a healthcare.
Experience with Microsoft office applications
Strong verbal and written communication skills.
Preferred Skills/ Experience:
MEDICARE and/or MEDICAID experience
HEDIS, STARS, CAHPS, NCQA experience
Education Requirement: High school diploma
Education/Experience:
Requires a High School diploma or GED
Requires 2 - 4 years of related experience
License/Certification:
For Illinois Youth Care Contract: Bachelors degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a human-services fieldProvides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans
Develops in-depth knowledge of care management services including responding to some complex or escalated issues
Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care
Performs service assessments/screening for members with some complex needs and documents the members care needs.
Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed
Works with care management team with triaging, adjusting, and escalating complex requests to management
Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager
Provide education on benefits and resources available
May assist with training and development 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 224787 when responding to this ad.
