Care Management Support Coordinator II – LTSS Medicaid Services

This is a fully remote position, open to applicants in Florida, +3 more states.

📋 Description

• Execute administrative care management tasks such as member outreach, handling inbound calls, and scheduling services.

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

• Maintain member documentation in alignment with state and regulatory requirements.

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

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

• Offer first-line support for inquiries, requests, and concerns from both members and providers.

• Clarify care-plan procedures and protocols to members.

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

• Keep and maintain non-clinical member records, providing them to providers as necessary.

• Make referrals to meet Social Determinants of Health needs.

• Carry out other assigned responsibilities while adhering to company policies and standards.

⛳️ Requirements

• High School diploma or GED is required.

• 1–2 years of relevant experience is necessary.

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

• Preferred: A minimum of 2 years in member or provider outreach within a fully outbound call environment.

• Preferred: Over 2 years of experience processing healthcare/insurance authorizations and coordinating member or provider services.

• Must be detail-oriented, adaptable, and a hands-on learner.

• Proficiency in web-based and CMS systems is required.

• Must be available to work Monday–Friday, from 8:00 am to 5:00 pm or 8:30 am to 5:00 pm EST.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plans.

• Stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

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

• Additional forms of incentives may be part of the overall compensation package.

• Equal opportunity employer dedicated to promoting diversity.