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Sr Care Management Assistant Behavioral Health - Remote (PA/NJ/DE)
5 days agoWhat's your preference?
Job Description
- Req#: 250887
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Fully remote position, allowing for flexible work arrangements within the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
- Opportunity for career advancement and growth within the organization.
- Engage in meaningful work by supporting members with their healthcare needs.
- Be a part of a supportive and collaborative team environment.
- Develop valuable skills in case management and customer service.
What to Expect (Job Responsibilities):
- Review and process case and condition management referrals from customer segment task lists per guidelines.
- Conduct outreach calls to members following Case Management guidelines and document interactions thoroughly.
- Schedule appointments for members or facilitate warm transfers to registered nurse case managers as needed.
- Maintain compliance with NCQA guidelines in all documentation and interactions.
- Develop and manage a tickler list for unfinished tasks to ensure follow-up.
What is Required (Qualifications):
- High school diploma required; degree preferred.
- Prior experience as a Care Management Assistant or in a similar role is preferred.
- Strong computer skills and ability to learn quickly.
- Excellent customer service skills and understanding of medical terminology.
- Attention to detail and accuracy is crucial for this role.
How to Stand Out (Preferred Qualifications):
- Experience in a healthcare-related position, particularly in case management or precertification.
- Familiarity with medical management systems and NCQA guidelines.
#HealthcareServices #RemoteWork #CareerOpportunity #CustomerService #CaseManagement
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