Care Coordinator II

This is a fully remote position, open to applicants in Texas.

📋 Description

• Assist in care management activities and designated member teams to guarantee the delivery of provider and partner services, ensuring continuity of care and member satisfaction.

• Perform member outreach through phone calls or home visits.

• Record care/service plans, activities, member requirements, and ongoing educational efforts.

• Engage with members to review care plans, outline next steps, provide resources, address questions and concerns, and recommend care options.

• Coordinate care activities with healthcare and community providers, partners, members, and caregivers.

• Address member and provider inquiries, requests, and concerns related to care/service plans.

• Collaborate with care managers, practitioners, and others to facilitate member services and ensure continuity of care.

• Assist in service assessments and screenings for members.

• Maintain member records in compliance with state and regulatory requirements and distribute them to providers as necessary.

• Educate members on benefits and available resources.

• Execute other assigned responsibilities and adhere to policies and standards.

⛳️ Requirements

• High School diploma or GED.

• 1–2 years of relevant experience.

• For the Arkansas Total Care plan: Bachelor's degree in social science or a health-related field, or a high school diploma with at least one year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients.

• For Arkansas: Valid driver's license.

• For Arkansas: Completion of a child and adult maltreatment check prior to hiring and on a recurring basis.

• For Arkansas: Drug screening at the time of hire and on a recurring basis.

• For Arkansas: Must reside in Arkansas or a bordering city.

• For Arkansas: 30% travel is required.

• Capability to identify needs and refer to Care Managers, community-based organizations, and Disease Managers.

• Ability to provide education on benefits and available resources.

• Adherence to contractual requirements, regulatory guidelines, standards of practice, and policies.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work options, including remote, hybrid, field, or office schedules.

• Additional incentive options may be included in total compensation.