Service Care Coordinator 1

Spectraforce

US


19 days ago

Remote

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Job Description

Title: Service Care Coordinator 1
Duration: 06 Months
Location: Remote in Texas, Central Standard Time zone
Shift: 8:30am-5:00pm CST, no overtime required


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.

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: Bachelor’s degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. 0-2 years of experience

Day to Day Responsibilities of this Position and Description of Project, including but not limited to:
  • 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.
Required Skills/Experience:  
1. Medical-Long Term Services and Supports Background, Working with the Aging, Blind and Disabled Population
2. MCO Medicaid STAR+PLUS insurance knowledge
3. Call center experience is a must; worker is expected to be on the phones for the shift and will need to follow their schedule timely
 
Preferred Skills/ Experience:  
1. Background in Managed Care
 
Education Requirement: High School Diploma or GED Education Preferred: Preferred BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech
Software Skills Required: Microsoft 365 applications including Outlook, Excel, Word, etc, Avaya soft phone knowledge
 

About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
 
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.

Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $18.00/hr.

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