Care Management Support Coordinator {168446}

A-Line Staffing is now hiring a Care Management Support Coordinator in Texas!The Care Management Support Coordinator will be working for a respected healthcare organization and has career growth potential. See additional details below.

Care Management Support Coordinator Highlights

• The pay for this position is $18.50 per hour.
• Monday – Friday 8am to 5pm with the possibility of OT
• Remote position, must be in Texas, regions McAllen and Corpus Christi
• This position is a contract to hire with potential for extension or conversion to FTE.

Responsibilities

·        Provides 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

·        Provides support to members to connect them to other health plans and community resources to ensure they are receiving high-quality customer care/service

·        May apply working knowledge of assigned health plan(s) activities and resources

·        Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols

·        Supports 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

·        Performs other duties as assigned

Requirements

·        Requires a High School diploma or GED

·        Requires 1 – 2 years of call center or related medical experience

·        Computer knowledge such as Outlook, Excel

·        Complete Typing and Computer Basics assessment

Benefits Available

• Benefits are available to full-time employees after 90 days of employment.
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates.

If you are interested in this Care Management Support Coordinator position, APPLY, or contact

• Identify quality of care issues including delays in care
• Facilitate coordination of patient services in assigned patient care unit
• Recognize quality of care issues
• Advance individual patient's plan of care
• Facilitate the appropriate delivery of health care services
• Initiate care of new clients
• Support care management staff with complex configuration issues
• Promote compliance with transitional care
• Assist the patient by coordinating prescribed pharmacy care with the patient
• Generate reports in accordance with care coordination goals
• Work with patient/family and other members of the care team to develop plans of care
• Work directly with physicians and health care professionals who are providing care and service
• Offering supportive care to patients
• Identify barriers to self-care
• Overseeing management and performance of the embedded care management team
• Ensure seamless transition of patients to home care by providing direct oversight of patient education and preparation for home care, plan of care initiation, and coordination of care
• Maintain compliance as required by ICE
• Provide support to care coordination specialist, care coordination case manager and care coordination supervisor in troubleshooting variety of issues related to payer communication
• Facilitate the transition between care environments and provide appropriate care interventions
• Ensure costs are contained and quality of care is maintained as the patient accesses care and services in the continuum of care