Care Coordinator II - J01000
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Care Coordinator II - J01000BC Forward is looking for Care Coordinator II (Remote EST/CST)
Position: Care Coordinator II (Remote EST/CST)Location: Remote EST/CST
Anticipated Start date: 9/22
Duration: 3 months Contract with an extension
Shift: Daily schedule: 3.5-week training and ongoing work, Mon-Fri, 8 AM-5 PM CST (1-hour lunch, cameras required, no time off).
Pay Rate: $22.00/hr. on W2
Need: Minimum 2-3 years' customer service experience in a managed care, medical, or call center setting with Medicare/Medicaid referral expertise and medical terminology knowledge.
Interview Process: 1 - Video Screening, 2 - Virtual Interview.
Position Summary:
Position Title: Care Management Outreach Representative
Position Purpose
Supports care management activities and the teams assigned to members to ensure services are delivered by healthcare providers and partners. Ensures continuity of care and member satisfaction by interacting with members telephonically or through home visits, and by documenting care/service plans and activities.
Key Responsibilities
Conduct outreach to members via phone (primary) or home visits to engage them in care/service plans.
Review care/service plans, address next steps, provide resources, answer questions, and offer ongoing education as appropriate.
Coordinate care activities based on care/service plans, collaborating with healthcare providers, community partners, and caregivers to adjust for changes or progress.
Serve as support for member and/or provider inquiries, requests, or concerns related to care/service plans.
Communicate with care managers, practitioners, and other stakeholders to facilitate services and ensure continuity of care.
Perform service assessments/screenings for members, documenting care needs as required.
Maintain accurate member records in compliance with state, regulatory, and contractual guidelines, and distribute information to providers as necessary.
Identify member needs and make referrals to Care Managers, community-based organizations, or Disease Managers.
Educate members on benefits and available resources.
Comply with all organizational policies, standards, and contractual requirements.
Perform other duties as assigned.
Education & Experience
Required:
High School Diploma or GED.
1-2 years of related experience.
Preferred:
Bachelor's degree (not required).
Story Behind the Need
Business Unit: MHS Wisconsin
Team Culture: Family-oriented, collaborative, and supportive environment with regular engagement activities. Team members meet twice monthly and use a group chat for quick questions and support.
Purpose: Conduct Health Needs Assessments (HNAs) with members to meet state contract requirements (35% screening rate).
Work Style: High-energy, high-volume call center; 50-70 outbound calls per day plus inbound calls; multi-tasking with dual monitors.
Typical Day
Schedule: 8:00 AM - 5:00 PM CST with a 1-hour lunch.
Primary Tasks: Outbound/inbound calls to complete HNAs, documentation, follow-up care coordination.
Performance Reviews: Monthly call audit metrics and HNA audit scores.
Candidate Requirements
Must-Have Qualifications:
High-volume phone customer service experience in healthcare, including strong communication skills, documentation accuracy, and compliance awareness.
Proficiency with Microsoft Office (Excel, Word, Outlook), technical skills, and ability to work remotely with dual monitors.
2-3 years' experience in managed care or physician's office, preferably with Medicaid; experience working directly with healthcare providers/patients.
Preferred Qualifications:
Experience with Medicare/Medicaid programs.
Prior experience completing Health Needs Assessments.
Disqualifiers:
Only front-office provider experience without insurance/managed care background.
No call center experience.
Resumes showing frequent job changes without clear explanation (must specify if roles were contract).
Performance Indicators
Call Volume: 50-70 outbound calls/day.
Call Audit Score: ≥ 90%.
HNA Audit Score: ≥ 90%.
Why Join Us
Team Culture: Supportive, fun, and development-focused environment with opportunities for advancement.
Growth Potential: Top performers are offered new roles within the team.
Impact: Directly contribute to improving healthcare outcomes for Medicaid members.
Position: Care Coordinator II (Remote EST/CST)Location: Remote EST/CST
Anticipated Start date: 9/22
Duration: 3 months Contract with an extension
Shift: Daily schedule: 3.5-week training and ongoing work, Mon-Fri, 8 AM-5 PM CST (1-hour lunch, cameras required, no time off).
Pay Rate: $22.00/hr. on W2
Need: Minimum 2-3 years' customer service experience in a managed care, medical, or call center setting with Medicare/Medicaid referral expertise and medical terminology knowledge.
Interview Process: 1 - Video Screening, 2 - Virtual Interview.
Position Summary:
Position Title: Care Management Outreach Representative
Position Purpose
Supports care management activities and the teams assigned to members to ensure services are delivered by healthcare providers and partners. Ensures continuity of care and member satisfaction by interacting with members telephonically or through home visits, and by documenting care/service plans and activities.
Key Responsibilities
Conduct outreach to members via phone (primary) or home visits to engage them in care/service plans.
Review care/service plans, address next steps, provide resources, answer questions, and offer ongoing education as appropriate.
Coordinate care activities based on care/service plans, collaborating with healthcare providers, community partners, and caregivers to adjust for changes or progress.
Serve as support for member and/or provider inquiries, requests, or concerns related to care/service plans.
Communicate with care managers, practitioners, and other stakeholders to facilitate services and ensure continuity of care.
Perform service assessments/screenings for members, documenting care needs as required.
Maintain accurate member records in compliance with state, regulatory, and contractual guidelines, and distribute information to providers as necessary.
Identify member needs and make referrals to Care Managers, community-based organizations, or Disease Managers.
Educate members on benefits and available resources.
Comply with all organizational policies, standards, and contractual requirements.
Perform other duties as assigned.
Education & Experience
Required:
High School Diploma or GED.
1-2 years of related experience.
Preferred:
Bachelor's degree (not required).
Story Behind the Need
Business Unit: MHS Wisconsin
Team Culture: Family-oriented, collaborative, and supportive environment with regular engagement activities. Team members meet twice monthly and use a group chat for quick questions and support.
Purpose: Conduct Health Needs Assessments (HNAs) with members to meet state contract requirements (35% screening rate).
Work Style: High-energy, high-volume call center; 50-70 outbound calls per day plus inbound calls; multi-tasking with dual monitors.
Typical Day
Schedule: 8:00 AM - 5:00 PM CST with a 1-hour lunch.
Primary Tasks: Outbound/inbound calls to complete HNAs, documentation, follow-up care coordination.
Performance Reviews: Monthly call audit metrics and HNA audit scores.
Candidate Requirements
Must-Have Qualifications:
High-volume phone customer service experience in healthcare, including strong communication skills, documentation accuracy, and compliance awareness.
Proficiency with Microsoft Office (Excel, Word, Outlook), technical skills, and ability to work remotely with dual monitors.
2-3 years' experience in managed care or physician's office, preferably with Medicaid; experience working directly with healthcare providers/patients.
Preferred Qualifications:
Experience with Medicare/Medicaid programs.
Prior experience completing Health Needs Assessments.
Disqualifiers:
Only front-office provider experience without insurance/managed care background.
No call center experience.
Resumes showing frequent job changes without clear explanation (must specify if roles were contract).
Performance Indicators
Call Volume: 50-70 outbound calls/day.
Call Audit Score: ≥ 90%.
HNA Audit Score: ≥ 90%.
Why Join Us
Team Culture: Supportive, fun, and development-focused environment with opportunities for advancement.
Growth Potential: Top performers are offered new roles within the team.
Impact: Directly contribute to improving healthcare outcomes for Medicaid members.
Interested candidates please send resume in Word format Please reference job code 241703 when responding to this ad.
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