Case Management Assistant Jobs

About The Position

Requirements

• High School Diploma or GED required.
• Minimum two years of experience with a home care agency, medical group, business office or managed care office required.
• Able to keyboard 40 wpm.
• Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
• Operate/troubleshoot basic office equipment required for the position.
• Able to work calmly and respond courteously when under pressure.
• Able to collaborate and accept direction.
• Able to think critically.
• Able to manage multiple assignments effectively.
• Able to organize and prioritize workload.
• Able to work well under pressure.
• Able to problem solve.
• Able to recall information with accuracy.
• Able to pay close attention to detail.
• Able to work independently with minimal supervision.
• Able to distinguish colors as necessary.
• Able to hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace.
• Able to see adequately to read computer screens, and written documents necessary to the position.
• Valid driver's license required at time of hire.

Nice To Haves

• Certificate or degree in business or healthcare field preferred.
• LVN, MA or Managed Care related national certification preferred.

Responsibilities

• Assisting with case management in daily utilization management functions including authorization, referrals, claims analysis, claims payment, data entry, and chart review.
• Demonstrating working knowledge of managed care contract rates, terms, and conditions.
• Accurately identifying member benefits.
• Cross-covering key areas of utilization management to ensure compliance with regulations.
• Functioning independently with minimal supervision.
• Taking responsibility for professional growth.
• Performing other duties as needed.