Our client is looking for a Case/Care Management Assistant to process service requests, authorize referrals as appropriate, and ensure all case data is correctly entered in the various systems.
Day to Day:
- Receives, logs-in and distributes all case management referrals
- Authorizes services or referrals not requiring clinical review
- Provides coverage determination and/or eligibility status
- Handles phone call- backs for the Care Managers, schedules beneficiary appointments
- Assists in maintaining the integrity of the data systems by entering information into department’s data systems
- Assists in the entry of Care Manager notes when needed
- Assists in the data analysis in month end research of problem authorizations
- Contacts provider offices to gather data as needed for reports, problem resolution or to explain benefits
- Prepares regular and ad hoc reports and distributes as needed
- Acts as liaison between the UM/CM when needed
- Provides administrative support to department management and staff, such as distributing mail, correspondence, ordering office supplies, scheduling meetings and faxing documents
- Supports department document control function by receiving and distributing cases from other sources, maintaining order in the Utilization Management document control room, and working cooperatively with other departments
- Other duties and projects as assigned
Requirements:
- Computer Skills
- Remote Experience
- High School Diploma or College Degree
- ~2 years of experience in medical environment
- Previous TRICARE, managed care, or case/care/utilization management experience preferred
Job Type: Part-time
Pay: $17.00 - $21.00 per hour
Expected hours: 16 per week
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
Work setting:
Application Question(s):
- Are you willing to work Monday/Tuesday 8-5pm PST?
Experience:
- Medical Field: 2 years (Required)
- Remote Work: 1 year (Preferred)
- data entry: 1 year (Required)
Work Location: Remote