Case Management Processor (Full Remote)

Overview

We are seeking a Case Management Processor to join a national Managed Care Organization on a temporary-to-permanent basis, providing non-clinical support to the Case Management team.

In Short

• Provide administrative support to the Case Management staff.
• Conduct initial review and triage of Case Management tasks.
• Review data to identify key member needs.
• Screen members using organizational policies.
• Coordinate necessary services based on the member’s benefit plan.
• Foster communication internally and externally.
• Generate and review reports for case management activities.
• Provide telephone support and research information.
• Maintain accurate documentation.
• Ensure confidentiality of member information.

Requirements

• High School Diploma or G.E.D.
• 1-3 years of experience in an administrative support role in healthcare.
• Excellent customer service skills.
• Strong analytical and problem-solving skills.
• Working knowledge of medical terminology.
• Ability to work independently and as part of a team.
• Proficient in PC usage and data entry.
• High regard for confidential information.
• Must live in PST Time Zone.

Benefits

• Temp-to-permanent position.
• Full-time schedule, Monday to Friday.
• Opportunity for permanent employment after 13 weeks.