Pacer Staffing LLC

Clinical - Service/Care Coordinator 1

Pacer Staffing LLC United States

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

  • 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.

Walk me through the day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):

  • Take incoming calls from Star Plus Medicaid members and assist with any needs.

Describe the performance expectations/metrics for this individual and their team:

  • Service Coordinators must meet Quality at 94% or above and adherence to their schedule at 90% or above.

Tell Me About What Their First Day Looks Like

  • The first day is spent getting access to systems and completing onboard training.

What previous job titles or background work will be in this role?

  • Call Center experience, background in healthcare.

Looking For

  • 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.

Job Responsibilities

  • 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.

Education/Experience

  • Bachelor’s degree in social work, Health Services, Behavioral Science, or High School or related field, or equivalent experience.
  • 0-2 years of experience.
  • Seniority level

    Entry level
  • Employment type

    Full-time
  • Job function

    Health Care Provider
  • Industries

    Staffing and Recruiting

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