Care Coordinator II

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

📋 Description

• Assist with care management activities and the assigned member teams.

• Ensure that services are provided by healthcare providers and partners.

• Conduct member outreach via phone or home visits.

• Discuss care plans/service plans, next steps, available resources, questions, and concerns.

• Coordinate care activities in accordance with care/service plans.

• Address inquiries, requests, and concerns from members and providers.

• Communicate with care managers, practitioners, and others to support member services and ensure continuity of care.

• Assist in conducting service assessments/screenings and document member care requirements.

• Maintain and document member records, distributing them to providers as needed.

• Adhere to contractual, regulatory, and organizational standards and policies.

• Provide education regarding benefits and available resources.

• Execute other duties as assigned.

⛳️ Requirements

• Must reside in the state of Texas.

• High School diploma or GED is required.

• 1–2 years of relevant experience is preferred.

• Capability to perform member outreach either by phone or during home visits.

• Ability to coordinate care activities with healthcare and community providers, partners, members, and caregivers.

• Competence in supporting member and provider inquiries related to care plans/service plans.

• Skill in documenting and maintaining member records according to state and regulatory requirements.

• Ability to identify needs and refer to Care Manager, community-based organizations, and Disease Manager.

• For Florida-Sunshine Health Plan: all member interactions are conducted telephonically.

• For Arkansas Total Care plan: a Bachelor's degree in a social science or health-related field OR a high school diploma with at least 1 year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients is required.

• For Arkansas Total Care plan: a driver's license, child and adult maltreatment check, and drug screening are mandatory; must reside in Arkansas or a border city; 30% travel is required.

🏝️ Benefits

• Health insurance.

• 401K.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements with options for remote, hybrid, field, or office schedules.

• Additional incentives may be included in total compensation.