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.