Service/Care Coordinator
Service/Care Coordinator
Pacer Staffing LLC
United States
See who Pacer Staffing LLC has hired for this role
Job Title: Service/Care Coordinator
Location: Remote in TX
Duration: 6 Months (Possible Contract to hire)
Shift Hours: Monday – Friday, 8:00 AM - 6:30 PM (CST)
Summary
Location: Remote in TX
Duration: 6 Months (Possible Contract to hire)
Shift Hours: Monday – Friday, 8:00 AM - 6:30 PM (CST)
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.
- Candidate must be in TX/ Preferred El Paso TX
- These positions work in a Call Center setting where the contractors are on a phone queue.
- Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.
- Adherence – 90% or above
- Quality – 95% or above
- Day 1/week 1: Issued password, badging, laptop, equipment, ensure systems access, and will start University training throughout the first week.
- Training: After week 1, will be set up with trainer for day-to-day visibility into the role.
- Call center and medical insurance background (another MCO).
- 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.
- High School Diploma or GED.
- Medical-Long Term Services and Supports Background, Working with the Aging, Blind and Disabled Population.
- Microsoft 365 applications including Outlook, Excel, Word, etc., Avaya soft phone knowledge.
- 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.
- Background in Managed care.
- Preferred BA in Social Work or Healthcare Mgmt., LVN, CNA, CMA, RT, Pharmacy Tech.
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Seniority level
Entry level -
Employment type
Full-time -
Job function
Other -
Industries
Staffing and Recruiting
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