Care Management Support Coordinator II – LTSS Medicaid Services

This is a fully remote position, open to applicants in Florida, +9 more states.

📋 Description

• Assist with administrative care management tasks, which include outreach, handling inbound calls, and coordinating service schedules.

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

• Maintain documentation of member records in compliance with current state and regulatory requirements.

• Conduct phone outreach to members regarding the next steps in care plans, available community or health plan resources, scheduling inquiries, and ongoing educational support.

• Link members with health plan and community resources.

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

• Deliver front-line assistance for inquiries, requests, and concerns from members and providers.

• Clarify procedures and protocols related to care plans.

• Facilitate member onboarding and manage daily administrative responsibilities.

• Distribute welcome letters, correspondence, and educational materials related to programs.

• Keep non-clinical member records and supply these records to providers as necessary.

• Refer members to services addressing 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 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: Over 2 years of member or provider outreach in a fully outbound call environment.

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

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

• Comfortable with web-based systems and CMS platforms.

• Familiarity with existing benefits and local resources is essential.

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

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off, in addition to holidays.

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

• Additional incentive programs may be included in the overall compensation package.

• Benefits may be subject to eligibility criteria for specific programs.