Managed Care Specialist

Job Description

Care Management Support Coordinator II

Location : Remote (Pacific Time Zone) California

Schedule : Monday–Friday, 8 : 00 AM – 5 : 00 PM PST (no overtime)

Duration : 3-month contract, with potential to extend or convert to full-time

Position Overview

The Care Management Support Coordinator provides administrative support for care management activities, serving as a key point of contact for members and providers. This role focuses on outbound member engagement, scheduling, and documentation to ensure seamless coordination of care and adherence to regulatory requirements.

Key Responsibilities

• Conduct outbound and inbound calls to engage members in care management programs (average of 60–70 calls per day).
• Support members with care plan next steps, scheduling, and access to community and health plan resources.
• Serve as the first point of contact for member or provider inquiries and resolve issues professionally.
• Assist with member onboarding by sending welcome materials and educational resources.
• Maintain accurate, non-clinical member records in compliance with state and regulatory standards.
• Identify and refer members to resources that address Social Determinants of Health (SDOH).
• Perform other administrative and customer service duties as assigned.

Qualifications

Ideal Candidate Profile