Clinical - Service/Care Coordinator 1
Clinical - Service/Care Coordinator 1
Pacer Staffing LLC
United States
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Job Description
Job Title: Service/Care Coordinator 1
Duration: 6 Months (Possible Extension)
Location: Remote in (TX)
Shift Time: 8:30am to 5:00pm (Mon-Fri) (CST)
Job Summary
Job Title: Service/Care Coordinator 1
Duration: 6 Months (Possible Extension)
Location: Remote in (TX)
Shift Time: 8:30am to 5:00pm (Mon-Fri) (CST)
Job Summary
- Provide support to medical, behavioral, and social support staff to determine needs, eligibility, and services for members.
- Conduct screening and risk assessment interventions per program guidelines.
- Take incoming calls from Star Plus Medicaid members and assist with any needs.
- Service Coordinators must meet Quality at 94% or above and adherence to their schedule at 90% or above.
- The first day is spent getting access to systems and completing onboard training.
- Call Center experience, background in healthcare.
- Medical-Long Term Services and Supports Background, Working with the Aging, Blind and Disabled Population.
- MCO Medicaid STAR+PLUS insurance knowledge.
- Call center experience is a must; workers are expected to be on the phone for the shift and will need to follow their schedule in a timely manner.
- Microsoft 365 applications including Outlook, Excel, Word, etc., Avaya soft phone knowledge.
- Identify special needs members through the completion of health screens and other resources.
- Work with community outreach/member advocates to coordinate member care.
- Educate providers and community resources on program components and available support services.
- Educate members with special needs to foster compliance with program and positively impact outcomes.
- Conduct site visits as appropriate for programs and provide support to other special programs.
- Assist with modification and management of care plans under the direction of a Registered Nurse in conjunction with member, medical consenter, or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.
- Bachelor’s degree in social work, Health Services, Behavioral Science, or High School or related field, or equivalent experience.
- 0-2 years of experience.
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Seniority level
Entry level -
Employment type
Full-time -
Job function
Health Care Provider -
Industries
Staffing and Recruiting
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