Job Description
Are you a detail-oriented professional with a passion for helping others navigate the healthcare system? We are seeking a Care Coordination Support specialist. In this role, you will serve as the administrative backbone for our clinical staff, acting as the primary point of contact for members, providers, and internal teams. This position is ideal for someone who thrives in a fast-paced environment, excels at multi-tasking, and is dedicated to ensuring members receive high-quality service and timely access to care. As a remote team member, you will play a critical part in coordinating life-changing waiver services and addressing the social determinants of health that impact our community. ***Candidates can be local to the following areas: Waco, TX, Killeen, TX, Bryan, TX, College Station, TX, Temple, TX or Corpus Christi, TX***
salary: $17 - $19 per hour
shift: First
work hours: 8 AM - 5 PM
education: High School
Responsibilities
- Member Outreach & Support: Perform telephonic outreach to assist members with care plan next steps, educate them on available benefits, and resolve inquiries or concerns.
- Service Coordination: Schedule medical appointments, arrange member transportation, and conduct provider searches to ensure high-quality care delivery.
- Administrative Facilitation: Manage member onboarding by sending welcome letters and program materials; document all interactions in non-clinical records to maintain state compliance.
- Clinical Team Collaboration: Task new requests to Social Workers for Medical Necessity (MN) determinations and follow up on pending services within a 28-day window.
- Issue Resolution: Handle "Unable to Locate" (UTL) processes, manage provider termination notifications, and address Social Determinants of Health (SDOH) by making local resource referrals.
Skills
- Managed Care
- Patient Care Coordination
- Call Center
- Scheduling Appointments
Qualifications
- Years of experience: 2 years
- Experience level: Experienced
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Job Tags
Hourly pay, Permanent employment, Temporary work, Work experience placement, Local area, Shift work