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.
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
Skills
- 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 Overview
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. It was founded in 1999, and is headquartered in Austin, Texas, USA, with a workforce of 1001-5000 employees. Its website is http://www.superiorhealthplan.com/.
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