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Care Management Support Coordinator II – LTSS Medicaid

PA Health & Wellness

Junior 18 - 28 USD/heure 🇬🇧 English
CMS

Description du poste

About the role

Centene is seeking a Care Management Support Coordinator II to provide administrative care‑management support for members receiving Long‑Term Services and Supports (LTSS) under Medicaid. The role involves outreach, call handling, scheduling, and serving as a primary point of contact for members, providers, and internal staff.

Key responsibilities

  • Perform outbound outreach to members to guide them through care‑plan steps, answer questions, and provide education.
  • Handle inbound calls, schedule services, and connect members to health‑plan and community resources.
  • Maintain non‑clinical member records in compliance with state and regulatory guidelines.
  • Support member onboarding by sending welcome letters, correspondence, and educational materials.
  • Provide front‑line assistance on member and provider inquiries, explaining care‑plan procedures and protocols.
  • Identify and refer members to resources that address Social Determinants of Health (SDOH).
  • Assist with processing healthcare authorizations and coordinating services.
  • Perform other duties as assigned while adhering to company policies.

Required profile

  • High School diploma or GED.
  • 1–2 years of related experience.
  • Preferred: 2+ years supporting adults 21+ receiving LTSS.
  • Preferred: 2+ years of outbound member or provider outreach.
  • Preferred: 2+ years processing healthcare/insurance authorizations.
  • Detail‑oriented, adaptable, hands‑on learner.
  • Proficient with web‑based and CMS systems.

Required skills

  • CMS

What we offer

  • Competitive hourly pay ranging from $17.84 to $28.02.
  • Comprehensive benefits package including health insurance, 401(k), stock purchase plan, tuition reimbursement, and paid time off.
  • Flexible work arrangements (remote, hybrid, field, or office).

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