Care Management Support Coordinator II at BC Forward in chapel hill, North Carolina

Job Description:

Care Management Support Coordinator II



Position Title: Care Management Support Coordinator II


Location: Durham, NC 27703 (Remote)




Anticipated Start Date: ASAP




Duration: 6+ months (Potential to Extend)




Job Type: Full Time/ W2




Pay Range: $22.00/hr on W2




Shift Timings: 8:00am EST - 5:00pm EST




Job Description: Care Management Support Coordinator II




Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.



Education/Experience:

• Requires a High School diploma or GED.


• Requires 1 - 2 years of related experience.


• 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.

Day-to-Day Responsibilities:

• Assist in activities related to the medical and psychological aspects of utilization and coordinated care.


• Conduct outreach attempts via telephone to assigned members daily.


• Maintain and update an Excel spreadsheet with member assignments.


• Maintain consistent communication with supervisor.


• Document all interactions in Virtual Health or similar system with each phone call.

Performance Expectations/Metrics:

• Make a high volume of outbound calls (80-120 calls/day).


• Utilize medical terminology appropriately.


• Maintain a reliable home internet connection with a dedicated workspace (HIPAA compliant).


• Complete assignments for 600 members monthly (approximately 30 new members daily).


• Achieve 100% compliance with assigned member tasks.


• Maintain an engagement rate of 80% or higher monthly.


• Achieve a minimum audit score of 90%.


• No time off permitted in the first 90 days of employment unless pre-planned during the interview process.

First Day Expectations:

• Meet with IT department to ensure all equipment and systems are operational.


• Complete required trainings assigned by supervisor, spanning the entire first week.


• Begin training specific to the job role once initial trainings are completed.

Previous Job Titles/Backgrounds:

• Any role providing customer service in a medical field setting.

Internal/External Interfaces:

• Interact with members, providers, and internal staff regularly to facilitate care coordination and resolve issues.

Required Skills/Experience:

• Basic knowledge of Microsoft Office.


• Experience in customer service, preferably in a healthcare setting.


• Strong communication skills.

Preferred Skills/Experience:

• 2-3 years in a managed care setting, medical office, or facility with medical administration duties.


• Knowledge of medical terminology.


• Strong time management and organizational skills.

Education Requirement:

• High school diploma or equivalent.

Benefits:



BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.



About BCforward:



Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.


BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.


BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.


To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.


This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.


Interested candidates please send resume in Word format Please reference job code 224275 when responding to this ad.


Get job alerts by email.Sign up now!Join Our Talent Network!



Salary Details



This salary was provided in the Job Posting.


$20-$22


Hourly Salary



Job Snapshot




Employee Type

Contractor



Location

Chapel Hill, NC (Onsite)



Job Type

Health Care, Human Resources, Insurance



Experience

Not Specified



Date Posted

07/02/2024 Apply Now