Revelations Counseling & Consulting LLC-posted about 7 hours ago
Full-time
Remote • Fredericksburg, VA
1-10 employees

A Case Management (CM) Specialist lends administrative support to Case Managers and Care Coordinators in the Case Management program. As a team member, you will regularly collaborate and engage with other team members to support daily operational tasks and duties assigned. Along with ensuring accuracy and efficiency, this role requires significant attention to detail, ability to prioritize and organize your work and regularly assess current workflows and create efficiencies. Duties are primarily performed in a virtual work environment.

  • Proactively evaluate and process assigned tasks within the medical management system
  • Schedule and manage meetings in Outlook and system calendaring functions
  • Process requests for beneficiary and/or provider education within established timeframes
  • Handle incoming and outgoing phone calls, including an inbound phone queue regarding care coordination or case management inquiries in an efficient and professional manner
  • Respond to daily email messages in an efficient and professional manner
  • Utilize standard program processes to respond to beneficiary, provider and staff requests
  • Support the CM leadership team by coordinating tasks and day-to-day activities, as requested
  • Efficiently identify and resolve issues or address barriers to daily work
  • Foster cross-functional communication with other organizational teams/departments
  • Ability to work independently and collaboratively in a fast-paced environment
  • Performs other duties as assigned
  • Regular and reliable attendance is required
  • High School Diploma or G.E.D.
  • U.S. Citizenship
  • Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
  • Minimum 2 years’ experience in a health care customer service environment
  • Experience with Microsoft Office suite
  • Medical Assistant (MA) or Certified Nursing Assistant (CNA)
  • Knowledge of Medical Terminology
  • Prior experience in a Managed Care Organization (MCO)
  • Prior experience with TRICARE or VA health plans
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