Job Description

Job Description

Immediate need for a talented Care Coordinator II . This is a 06 months contract to hire opportunity with long-term potential and is located in FL(Remote) . Please review the job description below and contact me ASAP if you are interested.

Job ID: 25- 89443

Pay Range: $24 - $25/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Training: 8 AM – 5 PM EST or 9 AM – 6 PM EST for 2-weeks
• Shift: 9 AM - 6 PM EST (Mon-Fri)
• NOTE: Team would prefer candidate to reside out of Tampa, Orlando, or Miami as they may be asked to meet in person (quarterly) – not mandatory but would like for this new hire to be able to make these.
• This person will be completing outbound quarterly calls to members to conduct follow up questions.
• Will be assigned cases per month.
• 3 attempts per members, (Day 1, Day 2, Day 3) – based on if contact has been completed or not, new hire would then connect with PCP to ensure they have the correct contact information.
• Must be willing to complete research – such as identifying member information, connecting with providers, etc.
• There may be some stretch assignments that may be aligned based on volume.
• Team expectation to conduct 50-75 calls per day.
• Will be required to submit a daily report outlining their production for the day. (Through Outlook)
• Multi-task being able to complete calls and takes notes simultaneously.
• Must understand that this role is remote but with that they must still present professional on calls (attire, personal appearance).
• This person will be dealing with confidential medical information – the team is really looking for someone who has an office environment established where they will have a productive work environment.
• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions, or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate.
• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed.
• Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan.
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service.
• May support performing service assessments/screenings for members and documenting the member’s care needs.
• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed.
• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards.
• Ability to identify needs and make referrals to Care Manager, community-based organizations, and Disease Manager.
• Provide education on benefits and resources available.
• Performs other duties as assigned.
• Complies with all policies and standards.

Key Requirements and Technology Experience:

• Key Skills; 2 years in healthcare / managed care background.
• Must be comfortable completing outbound / inbound calling.
• Looking for someone who can handle HIGH VOLUME calling – doctor’s office, front desk does not truly apply.
• General Technology experience - Excel, Outlook, Word, TEAMS
• High School diploma or GED is required.

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

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