Care Management Support Coordinator II – LTSS Medicaid Services

This is a fully remote position, open to applicants in Florida, +7 more states.

📋 Description

• Conduct administrative care management tasks, which include outreach to members/providers, handling inbound calls, and scheduling services.

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

• Engage in phone outreach to discuss care plan next steps, available community or health plan resources, scheduling inquiries, concerns, and ongoing educational support.

• Facilitate connections between members and health plan as well as community resources to ensure high-quality care and services.

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

• Offer front-line support for inquiries, requests, and concerns from members and providers, including clarifying care plan procedures and protocols.

• Assist in member onboarding and carry out daily administrative responsibilities, such as sending welcome letters, correspondence, and educational materials.

• Record and maintain non-clinical member documentation in accordance with state and regulatory standards.

• Provide necessary records to providers upon request.

• Make referrals to meet Social Determinants of Health requirements.

• Perform additional duties as assigned.

• Adhere to all policies and standards.

⛳️ Requirements

• High School diploma or GED is required.

• 1–2 years of relevant experience is necessary.

• A minimum of 2 years of experience making outbound calls to members or providers in a remote call center setting.

• 2 years of experience in processing healthcare or insurance authorizations and coordinating services for members or providers.

• Preferred: Over 2 years of experience supporting adults aged 21+ receiving Long-Term Services and Supports (LTSS).

• Preferred: More than 2 years of experience in member or provider outreach within a fully outbound call environment.

• Preferred: Over 2 years of experience in processing healthcare/insurance authorizations and coordinating services for members or providers.

• Detail-oriented, adaptable, flexible, a quick learner, and a hands-on learner.

• Comfortable and proficient in utilizing web-based systems and CMS platforms.

• Knowledgeable about existing benefits and local resources.

• Availability to work Monday–Friday, from 8 am–5 pm or 8:30 am–5 pm EST.

🏝️ 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 incentives may be included in the total compensation package.

• An equal opportunity employer dedicated to promoting diversity.