Care Management Coordinator

Job Summary

Supporting administrative care management activities, the full-time Care Management Coordinator will perform outreach, answer inbound calls, and schedule services for Medicaid LTSS members aged 21 and older in a remote environment.

Key Responsibilities

• Provides outreach to members via phone to assist with care plan next steps and connect them to health plan and community resources
• Serves as the front-line support for member and provider inquiries, explaining care plan procedures and protocols
• Documents and maintains non-clinical member records in accordance with state and regulatory requirements

Required Qualifications

• High School diploma or GED
• 1-2 years of related experience in a remote call center environment
• 2+ years of experience processing healthcare or insurance authorizations
• 2+ years of experience making outbound calls to members or providers
• Knowledge of Social Determinants of Health (SDOH) needs and local resources