Independence Blue Cross

Sr Care Management Assistant Behavioral Health - Remote (PA/NJ/DE)


PayCompetitive
LocationPhiladelphia/Pennsylvania
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 6577
      Employer Industry: Healthcare Services

      Why consider this job opportunity:
      - Opportunity for career advancement and growth within the organization
      - Fully remote work position, allowing flexibility in your work environment
      - Supportive and collaborative work environment
      - Chance to make a positive impact on member care and satisfaction
      - Engage in meaningful work by assisting members with case management needs

      What to Expect (Job Responsibilities):
      - Review and process case and condition management referrals from task lists according to guidelines
      - Conduct outreach calls to members, ensuring adherence to Case Management guidelines
      - Document all referrals and calls in the medical management system following established standards
      - Schedule appointments for members or facilitate warm transfers to registered nurse case managers
      - Maintain compliance with NCQA guidelines in all documentation and processes

      What is Required (Qualifications):
      - High school diploma required; degree preferred
      - Prior experience as a Care Management Assistant or in a similar role preferred
      - Strong computer skills and ability to research problems effectively
      - Excellent customer service skills with a solid understanding of medical terminology
      - Attention to detail and accuracy is crucial for this position

      How to Stand Out (Preferred Qualifications):
      - Experience in a healthcare-related field
      - Familiarity with case management processes and systems
      - Problem-solving aptitude and logical thinking abilities
      - Ability to learn quickly in a fast-paced environment
      - Proficiency with Microsoft Office applications

      #HealthcareServices #RemoteWork #CareerOpportunity #CaseManagement #CustomerService

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.
  • About the company

      Independence Blue Cross is a health insurer based in Philadelphia, Pennsylvania, in the United States.

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