Care Management Support Coordinator II

Pyramid Consulting

  • Seattle, WA
  • $22.00-23.00 per hour
  • Contract
  • Full-time
  • 2 months ago
Immediate need for a talented Care Management Support Coordinator II . This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote- PST). Please review the job description below and contact me ASAP if you are interested.Job ID:25-75812Pay Range: $22 - $23/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:
  • Schedule: 7 am - 4 pm PST/8 am - 5 pm PST. Needs to be available for weekend work as needed. OT not required.
  • Peer to peer phone scheduling team.
  • 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.
  • Ability to work from home, fast paced work environment, working cross-functionally with MD and clinical team., improving provider experience, and helping ensure that member's receive needed services.
  • 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.
Key Requirements and Technology Experience:
  • Key Skills: Scheduling ,HealthCare ,Call Center .
  • Critical thinking skills, takes feedback well, adaptability.
  • Scheduling experience
  • Microsoft Outlook
  • Call Center Experience
  • Healthcare Background
  • Strong verbal and written skills
  • previous p2p experience
  • Avg call handle time 7.5 min, avg hold time 1.5 min, calls are audited for quality, 90% service levels. 100% - 95% audit scores, 20-40 calls/day.
  • Requires a High School diploma or GED
  • Requires 1 - 2 years of related experience.
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.Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, colour, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy [Link available when viewing the job].#prof J2W:CB3

Pyramid Consulting