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Superior HealthPlan · 7 hours ago

Care Management Support Coordinator II

Texas, United States

Full-time

Hybrid

Entry Level

$17.50/hr - $27.50/hr

1+ years exp

Superior HealthPlan is part of Centene, a diversified national organization transforming the health of communities. The Care Management Support Coordinator II supports administrative care management activities, serving as a point of contact for members and providers while ensuring compliance with state and regulatory guidelines.

Health CareMedical

Responsibilities

Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service

Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service

May apply working knowledge of assigned health plan(s) activities and resources

Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols

Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship

Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed

Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs

Performs other duties as assigned

Complies with all policies and standards

Qualification

Care managementMember outreachDocumentationHealth resourcesCustomer service

Required

High School diploma or GED

1 – 2 years of related experience

Candidate MUST live in TX

Benefits

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Company

Superior HealthPlan

Superior HealthPlan is a leading provider of managed health care programs and services for 2 million residents in the State of Texas. It is a sub-organization of Centene.

Founded in 1999

Austin, Texas, USA

1001-5000 employees