Care Coordinator II

Sunshine Health3 months ago
Tampa, FL, United States
On-site
Full-time
Junior Level (1-3 years)

Job Description

Position Overview

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. This Care Coordinator II role supports care management activities to ensure that services are delivered by healthcare providers and partners, achieving care continuity and high member satisfaction. We are seeking a Care Coordinator II to join our team!

Key Responsibilities

  • Provides outreach to members via phone or home visits to engage them and discuss the care/service plan, next steps, resources, and any questions or concerns related to recommended care and ongoing education.
  • Coordinates care activities based on the care/service plan, working with healthcare and community providers, partners, and members/caregivers to accommodate changes or progress as needed.
  • Serves as support for various member and provider inquiries, requests, or concerns related to the care/service plan.
  • Communicates with care managers, practitioners, and others to facilitate member services and ensure continuity of care/service.
  • May support performing service assessments/screenings for members and document the member’s care needs.
  • Documents and maintains member records in accordance with state and regulatory requirements, distributing them to providers as needed.
  • Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines.
  • Identifies member needs and makes referrals to Care Manager, community-based organizations, and Disease Manager.
  • Provides education on benefits and available resources.
  • Performs other duties as assigned and complies with all policies and standards.

Required Qualifications

  • Must reside in Tampa or Orlando, FL.
  • One 8-hour Saturday shift per month.
  • Experience working in a high call volume, telephonic environment.
  • Excellent customer service and communication skills.
  • Experience in health risk assessment and care coordination.
  • Background in case management, mental health, or education.
  • High School diploma or GED.
  • 1–2 years of related experience.
  • License/Certification: For Florida-Sunshine Health Plan – all interactions with members are conducted telephonically.

Benefits & Perks

  • Compensation: Pay range $17.84 - $28.02 per hour
  • Comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, and paid time off plus holidays.
  • Flexible work options with remote, hybrid, field or office work schedules.

Required Skills

Customer Service
Communication Skills
Case Management
Health Risk Assessment
Care Coordination