Case Manager Assistant

HumanaDoral, OH
1d$38,000 - $45,800Hybrid

About The Position

Become a part of our caring community The Case Manager Assistant contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Case Manager Assistant performs basic administrative/clerical/operational/customer support/computational tasks. Typically work on routine and patterned assignments. The Case Manager Assistant reviews assigned medical records to ensure appropriate documentation, quality of care provided, visit utilization, appropriate contacts with physicians, adherence to the doctor's orders and plan of care. Communicates with staff any concerns or deficiencies uncovered and will report to Administrator/Designee to resolve ongoing problems. Analyze data to identify areas for improvement in the quality system. Assures ongoing compliance of quality of documentation is provided and the timely submission of such documents. Identify and report any staff continually out of compliance. Use your skills to make an impact

Requirements

  • Less than 2 years of Microsoft Office technical experience with Word, Outlook, and Excel
  • Administrative support experience in a healthcare industry
  • Familiarity with care and well-being resources
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Bilingual (English and Spanish speaker)
  • Demonstrated excellent customer service and communication skills

Nice To Haves

  • Home Health experience
  • Wellsky/Kinnser Experience
  • Medical terminology familiarity

Responsibilities

  • administration of care management
  • Provides non-clinical support to the assessment and evaluation of members' needs
  • guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
  • performs basic administrative/clerical/operational/customer support/computational tasks
  • reviews assigned medical records to ensure appropriate documentation, quality of care provided, visit utilization, appropriate contacts with physicians, adherence to the doctor's orders and plan of care
  • Communicates with staff any concerns or deficiencies uncovered and will report to Administrator/Designee to resolve ongoing problems
  • Analyze data to identify areas for improvement in the quality system
  • Assures ongoing compliance of quality of documentation is provided and the timely submission of such documents
  • Identify and report any staff continually out of compliance

Benefits

  • Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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