Position Title: Care Coordinator II (Spanish/Creole) - Remote
Locations: 8745 Henderson RD, Tampa, FL 33634
Anticipated Start Date: 01/06
Expected Duration: 6 months
Job Type: Contract with possible extension
Shift: Monday - Friday 9:00 a.m. - 6:00 p.m. EST
Pay Rate: $25.00/hr on W2.
Note: Candidates residing in the Tampa Bay area are preferred, as there may be occasional in-person meetings (quarterly). While attendance is not mandatory, the ability to participate is highly desirable.
In the event of power outages or remote work disruptions, the candidate must be able to work onsite at the following
Need: Min 2 years of Healthcare Experience with Bilingual (Spanish or Creole)., Pediatric care experience.
Job Description:
Position Purpose:
The role supports care management activities by ensuring healthcare services are effectively delivered to members through collaboration with providers and community partners. This position promotes continuity of care and member satisfaction by engaging with members via phone or home visits to address their care plans, resources, and overall needs.
Day-to-Day Responsibilities:
Conduct outbound quarterly follow-up calls to assigned members, completing a series of follow-up questions as part of their care management. Manage a designated caseload of member cases each month. Perform up to 3 attempts to contact each member (Day 1, Day 2, Day 3). If unsuccessful, collaborate with the member's Primary Care Provider (PCP) to verify or obtain updated contact information. Accurately document all outreach attempts, outcomes, and member interactions in the appropriate systems in compliance with standards. Participate in stretch assignments or additional tasks based on team volume and business needs. Performance Expectations and Metrics:
Maintain a daily target of 50-75 outbound calls to members. Demonstrate consistency in following the outreach process, including documentation and follow-up. Ensure timely and accurate updates of member records in compliance with regulatory and organizational standards. Exhibit adaptability to stretch assignments and meet performance goals set by leadership.
Required Skills/Experience:
2+ years of experience in healthcare or managed care.Must be comfortable with outbound and inbound calling.Ability to multitask, including completing calls while taking detailed notes simultaneously.Adaptability to change and flexibility in a dynamic work environment.General technology proficiency, including Excel, Outlook, Word, and Teams.
Preferred Skills/Experience:
Bilingual (Spanish or Creole).Pediatric care experience.Previous work-from-home experience.
Education Requirement:
High School Diploma (HSD) or equivalent experience.
Key Responsibilities:
Conduct outreach to members through phone calls or home visits to discuss care/service plans, next steps, resources, and any concerns, providing ongoing education and support as needed. Coordinate care activities in alignment with the member's care/service plan, collaborating with healthcare providers, community organizations, and caregivers to adjust plans based on progress or changes. Serve as a point of contact for member and provider inquiries, requests, and concerns related to care/service plans. Communicate with care managers, practitioners, and other relevant stakeholders to facilitate services and ensure continuity of care. Assist with assessments/screenings to document members' care needs as required. Maintain accurate and up-to-date member records in compliance with state, regulatory, and contractual standards, distributing documentation to providers when necessary. Adhere to policies, standards of practice, and regulatory guidelines. Identify member needs and make appropriate referrals to Care Managers, Disease Managers, and community-based organizations. Provide education to members about benefits and available resources. Perform additional duties as assigned. Qualifications:
High School Diploma or GED required. 1-2 years of relevant experience in a related field.
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 233496 when responding to this ad.
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