Care Management Support Coordinator II – LTSS Medicaid Services

This is a fully remote position, open to applicants in Florida, +6 more states.

📋 Description

• Assist in administrative care management tasks

• Conduct outreach to members via telephone

• Handle incoming calls

• Arrange services

• Act as a liaison for members, providers, and staff

• Address and resolve issues for members and providers

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

• Aid in advancing care plan next steps, community or health plan resources, scheduling inquiries, and ongoing education

• Connect members to health plan and community resources

• Utilize knowledge of assigned health plan activities and resources

• Offer front-line assistance for member and provider inquiries, requests, and concerns

• Clarify care plan procedures and protocols

• Support member onboarding and administrative tasks, including welcome letters, correspondence, and educational materials

• Facilitate referrals to meet Social Determinants of Health needs

• Adhere to all policies and standards

• Perform additional duties as required

⛳️ Requirements

• High School diploma or GED

• Requires 1–2 years of relevant experience

• Minimum of 2 years 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

• Proficient in using web-based systems and CMS platforms

• Detail-oriented, adaptable, and quick to learn

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

• Preferred: 2+ years of outreach experience to members or providers in a fully outbound call environment

• Preferred: 2+ years in processing healthcare/insurance authorizations and coordinating member or provider services

• Must be available Monday to Friday, 8:00 AM to 5:00 PM or 8:30 AM to 5:00 PM EST

🏝️ Benefits

• Competitive salary

• Health insurance coverage

• 401K retirement plan

• Stock purchase options

• Tuition reimbursement programs

• Paid time off

• Holiday pay

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

• Additional incentive options may be included in overall compensation

• Equal opportunity employer dedicated to diversity