Care Management Support Coordinator II

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

📋 Description

• Assist with administrative care management functions

• Conduct outreach to members and providers via phone

• Handle incoming calls and act as a primary contact for members, providers, and staff

• Arrange services

• Address and resolve issues, inquiries, requests, and concerns from members and providers

• Facilitate next steps in care plans, provide referrals to community and health-plan resources, assist with scheduling inquiries, and offer ongoing education

• Connect members with health-plan and community resources

• Clarify care-plan procedures and protocols

• Assist with member onboarding and administrative tasks, including sending welcome letters, correspondence, and educational materials

• Document and maintain non-clinical member records in accordance with state and regulatory guidelines

• Make referrals that address Social Determinants of Health needs

• Adhere to policies and standards while performing additional assigned duties

⛳️ Requirements

• High School diploma or GED

• 1–2 years of relevant experience

• Previous experience in a call center or healthcare setting is preferred

• Familiarity with existing benefits and local resources

• Ability to align work schedule with Eastern Standard Time (EST)

• Capability to manage outbound calls while handling inbound calls

• Understanding of state and regulatory requirements regarding member records

🏝️ Benefits

• Health insurance

• 401K

• Stock purchase plans

• Tuition reimbursement

• Paid time off plus holidays

• Flexible work arrangements including remote, hybrid, field, or office schedules

• Additional incentive options may be included in total compensation

• Equal opportunity employer committed to diversity