Care Management Support Coordinator II – LTSS Medicaid
PA Health & Wellness
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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