Care Management Coordinator II

Job Summary

A company is looking for a Care Management Support Coordinator II.

Key Responsibilities

• Provides outreach to members to support care plan next steps and connect them with health plan resources
• Serves as 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, preferably in Healthcare Call Center, Customer Service, or Claims
• Knowledge of assigned health plan activities and resources
• Ability to connect members with community resources addressing Social Determinants of Health (SDOH)
• For Florida-Sunshine Health Plan, all interactions with members must be conducted telephonically