Bilingual Program Coordinator

Care Management Support Coordinator II

HealthCare Support is actively seeking a Care Management Support Coordinator II to fill an opening with a Managed Care Organization in McAllen, TX.

Daily Responsibilities for Care Management Support Coordinator II:

• Call center type role, making outbound and receiving inbound calls
• Speaking with members and legal representatives
• Purpose of call: to schedule assessments
• Initiate authorization requests for output or input services in keeping with the prior authorization list.
• Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results.
• Assess and monitor inpatient census.
• Screen for eligibility and benefits.
• Identify members without a PCP and refer to Member Services.
• Screen members by priority for case management (CM) assessment.
• Perform transition of care duties to include but not limited to, contact the member’s attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs.
• Coordinate services with community based organizations.
• Attend marketing and outreach meetings as directed to represent the plan.
• Produces and mails routine CM letters and program educational material.
• Data enter assessments and authorizations into the system.
• Shift: Mon- Fri between 8am- 5pm
• Training will be in-office, remote set up after training

Required Qualifications for Care Management Support Coordinator II:

• High school diploma or equivalent
• Bilingual (Spanish) required
• 2+ years of high volume healthcare call center experience
• Previous appointment scheduling experience
• Computer literate, good typing skills

Preferred Qualifications for Care Management Support Coordinator II:

• No work gap of 1 year or more

Benefits for Care Management Support Coordinator II:

• Immediate enrollment in Health Insurance

• Dental Insurance
• Life Insurance
• Employee Assistance Program (EAP)
• Access to Investment Accounts
• Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details: $25/hour – $25/hour

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to karla.roque@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

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