Clinical - ServiceCare Coordinator 1

Job Description:

Job Title: Service/Care Coordinator 1

Duration: 6 Months (Possible Extension)

Location: Remote in (TX)

Pay Rate: XX18.00/Hr. On W2

Shift Time: 8:30am to 5:00pm (MonFri) (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 daytoday 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:

• MedicalLong Term Services and Supports Background Working with the Aging Blind and Disabled Population.
• MCO Medicaid STARPLUS 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:

• Bachelors degree in social work Health Services Behavioral Science or High School or related field or equivalent experience.
• 02 years of experience.