Care Coordinator II

Location and Schedule

Applicants must reside in the Hidalgo County, TX area (McAllen, Edinburg, Mission, Rio Grande City, Starr County, Brownsville, Harlingen, or Raymondville). The role is remote, but in-person meetings or training will occur at the McAllen Superior Health Plan office.

Monday – Friday, 8:00 AM to 5:00 PM (CST).

Supports care management activities and the teams assigned to members to ensure services are delivered by healthcare providers and partners, and continuity of care and member satisfaction is achieved. Interacts with members by performing outreach telephonically or through home visits and documents the plan for care/services of activities.

• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/careg
  
  Raise to accommodate changes or progress, as needed

• Serves as support on various member and/or provider inquiries, requests, or concerns related to the care plan/service plan
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service
• May support performing service assessments/screenings for members and documenting the member’s care needs
• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
• Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
• Provide education on benefits and resources available
• Performs other duties as assigned.
• Complies with all policies and standards.

Requires a High School diploma or GED.

Requires 1 – 2 years of related experience.

• Candidates with Medical Assistant or Certified Nurse Aide/ столь measures experience and working knowledge of medical terminology/ medical billing.
• 3 + years of experience coordinating doctor appointments, verifying insurance benefits, taking vitals, managing medical referral healthcare services, DME, therapy services, and/or providing patient advocacy and education to Medicaid members.

Pay Range: $17.84 – $28.02 per hour.

Benefits include a comprehensive benefits package featuring competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible Promotional approach to remote, hybrid, field or office work schedules. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.