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Care Coordinator II
Care Coordinator IIPyramid Consulting, Inc • Jacksonville, FL, US
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Care Coordinator II

Care Coordinator II

Pyramid Consulting, Inc • Jacksonville, FL, US
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Job Description

Immediate need for a talented Care Coordinator II . This is a 06 months contract to hire opportunity with long-term potential and is located in FL(Remote) . Please review the job description below and contact me ASAP if you are interested.

Job ID : 25- 89443

Pay Range : $24 - $25 / hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities :

  • Training : 8 AM – 5 PM EST or 9 AM – 6 PM EST for 2-weeks
  • Shift : 9 AM - 6 PM EST (Mon-Fri)
  • NOTE : Team would prefer candidate to reside out of Tampa, Orlando, or Miami as they may be asked to meet in person (quarterly) – not mandatory but would like for this new hire to be able to make these.
  • This person will be completing outbound quarterly calls to members to conduct follow up questions.
  • Will be assigned cases per month.
  • 3 attempts per members, (Day 1, Day 2, Day 3) – based on if contact has been completed or not, new hire would then connect with PCP to ensure they have the correct contact information.
  • Must be willing to complete research – such as identifying member information, connecting with providers, etc.
  • There may be some stretch assignments that may be aligned based on volume.
  • Team expectation to conduct 50-75 calls per day.
  • Will be required to submit a daily report outlining their production for the day. (Through Outlook)
  • Multi-task being able to complete calls and takes notes simultaneously.
  • Must understand that this role is remote but with that they must still present professional on calls (attire, personal appearance).
  • This person will be dealing with confidential medical information – the team is really looking for someone who has an office environment established where they will have a productive work environment.
  • 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 / caregivers to accommodate changes or progress, as needed.
  • Serves as support on various member and / or provider inquiries, requests, or concerns related to 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.

Key Requirements and Technology Experience :

  • Key Skills; 2 years in healthcare / managed care background.
  • Must be comfortable completing outbound / inbound calling.
  • Looking for someone who can handle HIGH VOLUME calling – doctor’s office, front desk does not truly apply.
  • General Technology experience - Excel, Outlook, Word, TEAMS
  • High School diploma or GED is required.
  • Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

    Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

    By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

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