Care Management Support Coordinator II

7 days ago

Sacramento, California, United States BCforward Full time
Care Management Support Coordinator II

BC Forward is looking for Care Management Support Coordinator II (Remote - MST)

Position Title: Care Management Support Coordinator II (Remote - MST)

Locations: Remote - MST
Anticipated Start Date: 03/28
Expected Duration: 3+ Months
Job Type: Contract with possible extension
Shift: 8 - 5 MST
Pay Rate $25/hr. on W2
Need: Minimum of 2 years Healthcare Insurance and Sales Experience
Interview Process: 1st Phone Screen, 2nd Video Interview

Job Description:
Position Purpose:
The Care Management Support Coordinator plays a vital role in assisting with administrative care management activities, including conducting outreach, handling inbound calls, and coordinating services. This position serves as a primary point of contact for members, providers, and internal teams, ensuring seamless communication, issue resolution, and accurate documentation in compliance with state and regulatory guidelines.
Fast-paced environment with a moderate call volume. As the frontline representative for the Care Management department, the temp will engage with numerous individuals daily, handling a variety of unique conversations.
Must-Haves:
  • Call center experience
Nice-to-Haves:
  • Healthcare insurance background
  • Sales experience
Performance Indicators:
Operational Expectations:
  • Handle 30 new cases per day
  • Process 10 Care Management (CM) referrals daily
  • Maintain a call volume of 50+ calls per day
Key Metrics:
  • Engagement rate
  • Decline rate
  • Compliance adherence
Top vs. Average Performers:
Key Hard Skills (Ranked by Importance):

Call Strategies - Ability to effectively engage, guide, and retain callersTime Management & Organization - Efficiently handling high call volumes while maintaining accuracySales/Call Center Experience - Background in customer interactions, handling objections, and closing opportunitiesCandidate Review & Selection Criteria:
  • Depth of experience in each of the top skills
  • Ability to meet performance expectations
  • Strong communication and problem-solving abilities
Education & Experience:
  • High school diploma or GED required.
  • 1-2 years of related experience in healthcare, customer service, or administrative support.
Key Responsibilities:
  • Conduct outreach to members via phone to support care plan next steps, address questions or concerns, and provide ongoing education for both members and providers.
  • Assist members in accessing health plan and community resources, ensuring they receive high-quality support and services.
  • Apply knowledge of health plan activities and available resources to effectively guide members and providers.
  • Serve as the first point of contact for member and provider inquiries, explaining care plan procedures and protocols.
  • Support member onboarding by managing administrative tasks, including sending welcome letters, program materials, and other relevant correspondence.
  • Maintain and update non-clinical member records in compliance with state and regulatory standards, providing documentation to providers as needed.
  • Identify and refer members to local benefits and resources to address Social Determinants of Health (SDOH) needs.
  • Perform other duties as assigned.
  • Adhere to all company policies and regulatory 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.

Interested candidates please send resume in Word format Please reference job code 235906 when responding to this ad.

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Job Snapshot

Employee Type
Contractor

Location
California, US (Onsite)

Job Type
Health Care

Experience
Not Specified

Date Posted
02/26/2025

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