Member Support Coordinator

Location: Fully remote, but candidates must live in the State of Tennessee

Company

hirify.global provides health insurance and healthcare support services for TennCare members.

What you will do

• Conduct telephonic CHOICES screenings and gather information to assess potential eligibility for long-term services and supports.
• Manage referrals, enrollments, transitions, discharge planning, reassessments, cost-of-care activities, and LTSS disenrollments.
• Review clinical requests, reports, medical and educational records, authorizations, and supporting documentation.
• Coordinate with internal departments, healthcare providers, other managed care organizations, TennCare, Maximus, and external partners.
• Submit completed requests and supporting documents to TennCare systems and monitor dispositions.
• Communicate outcomes and help resolve service delivery, provider, enrollment, and care coordination concerns.

Requirements

• Must live in the State of Tennessee.
• Master’s in Social Work with LCSW, LMSW, or LAPSW, or an RN or LPN license.
• At least 3 years of clinical experience.
• Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
• Excellent oral and written communication, interpersonal, organizational, analytical, and time management skills.
• Ability to manage multiple critical-deadline tasks independently and maintain professional relationships with vendors and external partners.

Culture & Benefits

• Fully remote work within Tennessee.
• Employee position supporting meaningful access to long-term services and supports.
• Work involves collaboration with clinical, operational, governmental, provider, and managed care partners.
• Fast-paced environment with opportunities to support members facing health, functional, and caregiving challenges.