Outreach Care Coordinator
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.
- Managed Care
- Patient Care Coordination
- Call Center
- Scheduling Appointments
- Years of experience: 2 years
- Experience level: Experienced
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 [email protected]. 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.
Recommended Jobs
Warehouse Outbound Associate - Arlington, Tx.
Job Title: Warehouse Outbound Associate Location: Arlington, Tx. Position Overview: We are currently seeking a detailed orientated Outbound Associate to join our team. This position is respon…
Company Driver - Class A CDL (PTO/Pumps, CO2 Hauler)
Class A CDL Driver: CO2 Hauler - need HazMat & Tanker endorsements and experience. Work is based in McCamey, TX. We are looking for local drivers. We are hiring well experienced Class A CDL Compan…
Staff Software Engineer
Company Description Founded by experienced entrepreneurs and engineers in 2016, Pismo is a technology company that provides a comprehensive processing platform for banking, card issuing and fina…
Software development manager
Job Description The Role: As an AI Software Engineer Leader on the Enterprise AI team, you will play a critical role in shaping GM's future through high-impact AI systems. You will be resp…
Development Coordinator - CFHP
Community First Health Plans Category | Professional Non-Nursing Job Schedule | Full Time Job Shift | Day Shift Job ID | 00009342 Post Date | Mar. 13, 2026 Department | Corporate Communic…
Real Estate Brokerage - Director of Agent Experience
Director of Agent Experience Full-Time | On-Site We’re seeking a dynamic Director of Agent Experience to join our Market Center team. This role is all about creating a world-class experience fo…
Fitness Trainer
Benefits: Bonus based on performance Dental insurance Employee discounts Health insurance Vision insurance Job Summary The Fitness Trainer will be responsible for running the P…
STORE MANAGER IN FRIONA, TX (Friona)
Work Where You Matter At Dollar General, our mission is Serving Others! We value each and every one of our employees. Whether you are looking to launch a new career in one of our many convenient St…
Sales Brand Ambassador
Kering Eyewear seeks a Sales Brand Ambassador in Austin, Texas, to drive sales and build customer relationships within the luxury eyewear sector. The role involves achieving sales targets, fostering p…
Nursing Attendant PRN
University Hospital Category | Allied Health Job Schedule | PRN Job Shift | Day Shift Job ID | 00062465 Post Date | Feb. 20, 2026 Department | Trauma ICU Salary Range | $17.85 - $21.50 …