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Care Coordination Support Associate II
2 months ago
As a Care Management Support Coordinator II, you will play a crucial role in facilitating administrative care management tasks. This includes conducting outreach, managing inbound communications, and organizing service schedules.
Key Responsibilities:
- Act as a primary contact for members, healthcare providers, and internal teams to address inquiries and resolve issues.
- Document member interactions and maintain accurate records in compliance with state regulations and organizational policies.
- Collaborate with transplant nursing staff to initiate necessary contracts for transplant services.
- Utilize multiple clinical review systems effectively to perform job functions.
Essential Skills:
- Detail-oriented with the ability to manage a demanding workload.
- Proficient in data entry and familiar with medical terminology.
Qualifications:
- High School diploma or GED required.
- Minimum of 2 years of relevant experience in a care management or administrative role.
Additional Responsibilities:
- Provide outreach to members via phone to assist with care plans, resource navigation, and address any questions or concerns.
- Support members in connecting with health plan and community resources to enhance their care experience.
- Serve as the first point of contact for various member and provider inquiries, explaining care procedures and protocols.
- Assist with member onboarding and manage day-to-day administrative tasks, including correspondence and educational materials.
- Ensure non-clinical member records are maintained in accordance with regulatory standards.
- Address Social Determinants of Health (SDOH) needs through appropriate referrals.
Company Overview:
BCforward is a leading professional services firm dedicated to delivering innovative solutions that support the strategic goals of our clients. With a commitment to excellence, diversity, and accountability, we empower our team to drive transformation and growth for organizations globally. We are proud to be an equal opportunity employer, fostering an inclusive environment for all candidates.
