Care Management Support Coordinator II
2 days ago
BCforward is seeking a highly motivated Care Management Support Coordinator II to join our team in Delaware (Remote). As a key member of our care management team, you will play a critical role in supporting administrative care management activities, including performing outreach, answering inbound calls, and scheduling services.
Key Responsibilities:- Support administrative care management activities, including performing outreach, answering inbound calls, and scheduling services.
- Serve as a point of contact to members, providers, and staff to resolve issues and document member records in accordance with current state and regulatory guidelines.
- Provide 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.
- Support members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service.
- Apply working knowledge of assigned health plan(s) activities and resources.
- Serve as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols.
- Support 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.
- Document and maintain 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.
- Medical background
- Customer Service Representative
- Managed care environment
BCforward offers all eligible employees a comprehensive benefits package, including major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
We are an equal opportunity employer and welcome applications from diverse candidates. To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum.
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