Care Management Support Coordinator II

BCforward is currently seeking a highly motivated Care Management Support Coordinator

Position Title: Care Management Support Coordinator

Location: Remote
Anticipated Start Date: 1/16/2025
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.
Expected Duration: 3+ Months of contract with possible extension
Job Type: [FULL TIME (>%3D30 HRS WEEKLY)], [CONTRACT], [REMOTE]
Pay Range: $22 - $23/hr.
Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Job Description: Care Management Support Specialist

Position Purpose:
The Care Management Support Specialist is responsible for assisting with administrative care management activities, including performing outreach, answering inbound calls, and scheduling services. This position serves as a primary point of contact for members, providers, and staff to resolve inquiries, provide support, and document member records in compliance with current state and regulatory guidelines.

Education/Experience:

Requires a High School diploma or GED Requires 1 - 2 years of related experience

Key Responsibilities:

Outreach & Support: Provides outreach to members via phone to discuss care plan next steps, community or health plan resources, and address questions or concerns related to scheduling. Supports ongoing education for both members and providers throughout the care/service process. Resource Coordination: Connects members to health plan and community resources to ensure they are receiving comprehensive and high-quality customer care/service. Health Plan Knowledge: Applies a working knowledge of assigned health plan activities and resources to assist with member inquiries, including providing details about benefits, procedures, and available resources. Member/Provider Inquiries: Serves as the front-line support for various inquiries, requests, or concerns from members and/or providers, including explaining care plan procedures, protocols, and services. Onboarding & Administrative Support: Assists with member onboarding and day-to-day administrative tasks, such as sending welcome letters, program-related correspondence, and educational materials to support a successful member/provider relationship. Documentation & Compliance: Maintains accurate non-clinical member records, ensuring compliance with state and regulatory requirements, and ensures timely and accurate sharing of relevant information with providers as needed. Social Determinants of Health (SDOH): Identifies and refers members to community resources to address Social Determinants of Health (SDOH) needs, ensuring holistic care coordination. Other Duties: Performs other administrative duties as assigned, contributing to the efficient functioning of the care management team. Policy Compliance: Adheres to all company policies, standards, and regulatory requirements to ensure the highest level of service and compliance.

Skills & Qualifications:

Excellent communication and interpersonal skills, with the ability to engage with members, providers, and team members professionally and effectively. Knowledge of health plan resources and community services, with the ability to make appropriate referrals. Strong organizational skills and attention to detail. Ability to handle multiple tasks efficiently and maintain accurate documentation. Familiarity with regulatory requirements related to healthcare services and documentation. A customer-centric attitude, with a focus on delivering high-quality service to members.

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.

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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.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 232217 when responding to this ad.

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