Care Management Support Coordinator II

3 weeks ago

Crestwood, Kentucky, United States BCforward Full time
Care Management Support Coordinator II

BCForward is seeking a highly skilled Care Management Support Coordinator II to join our team. 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 support to members to connect them to other health plan and community resources to ensure they receive high-quality customer care/service.
  • May 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, including 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.
  • Perform other duties as assigned.
  • Comply with all policies and standards.
  • 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 update an excel spreadsheet with member assignments listed.
  • Consistent communication with supervisor.
  • With each phone call, documentation is required in Virtual Health.
  • 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 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).
Requirements:
  • 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.
Benefits:

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.

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 when responding to this ad.

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