Case Management Assistant

Texas Children's Careers•Bellaire, TX

19d

About The Position

We are searching Case Management Assistants. Someone who will assist the Case Manager in the identification of member needs, initiation of member contact, provision of member and provider education and coordination of community resources to promote optimal health. Think you've it what it takes?

Requirements

H.S. Diploma or GED required
2 years Case management, community outreach, healthcare, and/or health insurance experience required or 3 years General administrative experience required

Nice To Haves

2 years Call/Contact Center experience preferred

Responsibilities

Provides Support for Case Management Services
Answers incoming fax, email and phone requests as evidenced by fax log, inbox, Customer Relationship Management (CRM)s, and event tracking.
Initiates member phone calls daily and identifies issues and refers to care/case manager and other health plan departments as indicated. Documents in current case management system.
Provides updated case management database and statistics monthly and quarterly. Submits data collection in a timely manner monthly.
Tracks member interactions and provides assistance in telephonic outreach and data collection through special disease management projects that are grant based.
Accurately schedules, cancels, and documents new and/or follow-up appointments for both face to face and telephonic requests, as needed for case manager and transition specialist using scheduling calendar application.
Ensures that projects assigned are completed timely and accurately to support member population assessments and appointments.
Screens and evaluates all calls and refers as necessary to case manager, social worker, or transition specialist and/or supervisor.
Gathers data for statistics by product, service, and network and maintains all required logs.

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