Care Coordinator II - J01000

BC Forward is looking for Care Coordinator II (Remote KY)

Position Title: Care Coordinator II (Remote KY)
Location: Eastern KY or Westen KY - KY is mandatory for this role
Anticipated Start Date: ASAP
Expected Duration: 3 months
Job Type: Potential to extends and/or convert to FTE
Schedule:Training will run from 8:30 AM to 5:00 PM EST for 2 weeks (shadowing; cameras are required to be on). After training, working hours will be 8:30 AM to 5:00 PM EST or CST, depending on the candidate's location in Kentucky.
Pay rate: $23.00/hr on W2
Need: Skilled at engaging members in conversation while multitasking across systems, addressing care needs, and completing assessments to close HEDIS gaps.
Interview Process: 1-Phone Screening 2- Virtual Interview.
Job Description:
Position Purpose
This role supports care management activities and assigned teams to ensure healthcare services are delivered effectively by providers and partners, with a focus on continuity of care and member satisfaction. Responsibilities include engaging with members through telephonic outreach or home visits, documenting care/service plans, and supporting members throughout their care journey.
Education & Experience
High School diploma or GED required
1-2 years of related experience required (call center or provider office experience preferred)
Proficiency in Microsoft Excel and Word required
Licensure & Certification Requirements
Florida - Sunshine Health Plan: All member interactions are conducted telephonically.
Arkansas - Total Care Plan:
Designated as a safety-sensitive position
Requires a valid driver's license
Requires child and adult maltreatment checks (prior to hire and ongoing)
Requires a drug screen (at hire and ongoing)
Must reside in Arkansas or a border city
Travel: 30%
Key Responsibilities
Conduct outreach to members via phone or home visits to engage, review care/service plans, and address next steps, resources, and concerns. Provide ongoing education as appropriate.
Coordinate care activities with healthcare providers, community partners, members, and caregivers to accommodate changes or progress.
Respond to member and/or provider inquiries, requests, or concerns related to care/service plans.
Communicate with care managers, practitioners, and other stakeholders to facilitate member services and continuity of care.
Support service assessments/screenings for members and document care needs.
Maintain accurate and compliant member records in accordance with state and regulatory requirements.
Identify member needs and make referrals to Care Managers, Disease Managers, or community-based organizations.
Provide education on available benefits and resources.
Follow organizational policies, contractual requirements, and regulatory guidelines.
Perform other related duties as assigned.
Story Behind the Need
Team Purpose: A telephonic outreach team connecting with vulnerable Medicare members who remain non-compliant with annual preventive screenings and visits.
Team Culture & Work Environment: Collaborative, supportive environment with outbound calling (approximately 10 calls per hour). Team members document assessments and applications while leveraging proficiency in Excel and Word.
Hiring Context: Part of an initiative to engage members, improve compliance, and address care gaps.
Typical Day in the Role
Make outbound calls (goal: 10 members per hour) to assist with scheduling provider appointments and addressing open care gaps.
Provide educational information and support with Social Determinants of Health (SDoH) barriers.
Utilize resource folders, group chat, weekly office hours, and monthly 1:1 support sessions for guidance and collaboration.
Performance Expectations & Metrics
Meet outreach goals (10 calls per hour).
Complete accurate assessments to close HEDIS care gaps.
Maintain member engagement while multitasking across multiple systems/screens.
Candidate Requirements
Education: High school diploma or GED (required)
Experience: 1-2 years of related experience in a call center or provider office (required)
Technical Skills: Proficiency in Microsoft Excel and Word (required)
Disqualifiers: Candidates with contract-only backgrounds or those overqualified (e.g., physicians or master's degrees)
Preferred Qualities: Familiarity with medical terminology
Top 3 Must-Have Skills (in order of importance)

Ability to fully engage members in conversation while supporting medical care needs.
Ability to multitask across multiple systems/screens while maintaining member engagement (avoiding "dead air").
Ability to complete assessments to close HEDIS care gaps.

Candidate Review & Selection
Shortlisting & Review: Immediate (ASAP)
Interview Process: Microsoft Teams (camera on required)
Onboarding: Includes expectations setting, compliance with policies/standards, and role-specific training.

Interested candidates please send resume in Word format Please reference job code 243963 when responding to this ad.

Get job alerts by email. Sign up now! Join Our Talent Network! Job Snapshot Employee Type Contractor Location Kentucky, US (Onsite) Job Type Health Care Experience Not Specified Date Posted 09/15/2025 Apply to this job. Think you're the perfect candidate? Apply Now