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    Coordinator - Care Management Associate - Phoenix, United States - Rose International

    Rose International
    Rose International Phoenix, United States

    3 weeks ago

    Default job background
    Accounting / Finance
    Description

    Date Posted: 04/18/2024

    Hiring Organization: Rose International

    Position Number: 462565

    Job Title: Coordinator - Care Management Associate

    Job Location: Phoenix, AZ, USA, 85040

    Work Model: Hybrid

    Shift: Monday - Friday 800am to 500pm

    Employment Type: Temporary

    Estimated Duration (In months): 13

    Min Hourly Rate ($): 17.00

    Max Hourly Rate ($): 18.00

    Must Have Skills/Attributes: CMS, Customer Support, Medicaid Systems, Medicare



    Job Description



    **Only those lawfully authorized to work in the designated country associated with the position will be considered. **



    **Please note that all Position start dates, and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements. **



    Onsite training and remote after training - MUST be onsite day one for orientation and equipment pickup.

    This is a remote role but MUST come onsite from time to time for mandatory meetings (monthly/quarterly).

    Candidate MUST reside in Maricopa County.


    • 1-2 years customer experience or call center


    • Safety Sensitive


    • This position will be dealing with very sensitive and confidential information. - this person MUST have a private place to work in their home since they are dealing with confidential information


    • Proficient in keyboarding, typing 45 wpm with min score of 6500 alphanumeric skill set - Must include screen shot of typing test on resume


    • Must include city and zip on resume


    • Must include screen shot of typing test on resume.


    • Proficient in keyboarding, typing 45 wpm with min score of 6500 alphanumeric skill set -*** Must include screen shot of typing test on resume


    • The initial EPSDT appointments for a new CHP member in the first 30 days.


    • The initial 30 days are devoted to a be able to with a care giver, explaining the importance of an EPSDT appointment, assisting with helping that care giver find a provider and following up to ensure and track the appointment occurred.


    • There are three EPSDT appointments that need to occur, Medical, Dental and Behavioral Health.



    Experience:


    • Experience working in a Managed Care


    • Effective communication, telephonic and organization skills.


    • Familiarity with basic medical terminology and concepts used in care management.


    • Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification, and resolution of issues to promote positive outcomes for members.


    • Computer literacy to navigate through Internal/external computer systems, including Excel and Microsoft Word.



    Position Summary:


    • The coordinator III will work directly with other coordinators to ensure quality of work delivered, performance/productivity benchmarks are met, and all compliance related issues are properly addressed, trained and coached on a consistent basis.


    • The Enrollment Coordinators play a critical role in working with our new member clients to determine eligibility and perform various enrollment activities.


    • Enrollment Coordinators interface with both individual plan members and employer group and requires a strong focus around accurate and timely customer support to ensure client enrollment and retention.


    • The Enrollment Coordinator III reports directly to the Enrollment Supervisor, also functioning as SME (Subject Matter Expert) in the functions, processes, and eligibility procedures as they relate to Medicare Part D enrollment and CMS (Center for Medicare/Medicaid Services) Standards.



    Education:


    • High school diploma or 2+ years of relevant work experience.



    Benefits:

    For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.



    California Pay Equity:

    For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

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