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A-Line Staffing Solutions

Care Management Support Coordinator II

A-Line Staffing Solutions, Texas City, Texas, us, 77592

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Here is the formatted HTML job description: Care Management Support Coordinator II - J01003 Care Management Support Coordinator II - J01003 Address: Various, Texas 99999 Schedule: Full shift description: 26.0 hours/week, Various, Texas 99999 Job Description

Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. 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 plan 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. Documents and maintains 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.

Critical Information

Contract Type: Contract to Hire Education/Experience: Requires a High School diploma or GED, 1 - 2 years of related experience Job Duration: 26.0 hours/week

Benefits:

Benefits are available to full-time employees after 90 days of employment. A 401(k) with a company match is available to full-time employees after 1 year of service. This is an AI-formatted job description; therefore, this does not remove human decision-making.

Education/Licenses Needed

Required certifications and degrees: High School diploma or GED

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