Care Management Support Coordinator II

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

📋 Description

• Assist with administrative care management tasks, such as member outreach, incoming calls, and scheduling services.

• Act as a liaison for members, providers, and staff to address and resolve issues.

• Reach out to members via phone to discuss care-plan next steps, community or health-plan resources, scheduling inquiries, concerns, and ongoing education.

• Link members to health-plan and community resources to ensure high-quality customer service.

• Utilize a working understanding of assigned health plan activities and resources.

• Address inquiries, requests, and concerns from members and providers, including explanations of care-plan procedures and protocols.

• Assist with member onboarding and administrative tasks, which include sending welcome letters, correspondence, and educational resources.

• Record and maintain non-clinical member documentation in compliance with state and regulatory requirements.

• Make referrals to meet Social Determinants of Health needs.

• Carry out additional duties as assigned.

• Adhere to all policies and standards.

⛳️ Requirements

• High School diploma or GED is required.

• 1–2 years of relevant experience.

• Familiarity with assigned health plan activities and resources.

• Understanding of local benefits and resources.

• Capability to conduct member and provider outreach via telephone.

• Competence in documenting member records in alignment with state and regulatory guidelines.

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

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off.

• Observance of holidays.

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

• Incentives may be part of the overall compensation package.

• Support for reasonable accommodations.