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Company Name : Federal Services
Location : Arizona
Position : Case Care Management Assistant (HNGSS) – REMOTE AVAILABLE
Job Description : You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
The Case Care Management Assistant provides a variety of administrative functions and customer service for the Case/Care and Utilization Management functions. The Assistant processes service requests, authorizes referrals as appropriate, and ensures all case data is correctly entered in the various systems. The Assistant calls beneficiaries to schedule appointments, contacts providers to gather information, and responds to beneficiary/provider questions and requests. The Assistant collects, compiles and analyzes data and information and distributes reports as directed. The Assistant also provides department administrative support, such as scheduling meetings, distributing/preparing correspondence, faxing documents, transcribing notes and preparing reports.
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
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
Education/Experience:
High School Diploma required; College Degree preferred. Three years experience in a medical environment; previous TRICARE, managed care or case/care/utilization management experience desirable
This position will be supporting a Federal government contract, therefore it requires U. S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 or higher security.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
This post is listed Under Arizona jobs
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