Care Management Support Coordinator IV - Team Lead
Core
Leads a care management team in performing administrative outreach, scheduling services, and resolving complex member/provider inquiries to ensure access to health plan and community resources.
Role type
Senior IC care management team lead
Builds
Administrative care management activities and member/provider support workflows
Domain
Healthcare administration / Medicaid and Medicare programs
Required skills
Care plan management, member outreach, regulatory compliance documentation, process improvement, team onboarding, complex inquiry resolution
Preferred skills
Care coordination for diverse populations, PSON and MNSF workflow processes, STAR Health/STAR Kids/STAR+PLUS/Duals/Medicaid/Medicare program experience, TruCare Cloud audit performance, Microsoft Office Suite proficiency
Technologies
TruCare Cloud, Microsoft Office Suite (Excel, OneNote, PowerPoint, Outlook)
Responsibilities
Lead member outreach via phone to support care plan next steps and connect members to resources; Serve as front-line support for highly complex member and provider inquiries; Document and maintain non-clinical member records per state and regulatory guidelines; Perform team member onboarding and administrative duties; Identify process improvements and contribute to training program development; Escalate very complex requests to management.
Seniority
Senior, hands-on IC with team leadership
