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Case Management Processor (Full Remote)

Remote · Sweden Full-time

Job Title: Case Management Processor Pay reputed company: $24.00 per hour reputed company-to-Permanent - permanent eligible after 13 weeks Schedule: Full-time, Monday to Friday, 8:30 am - 5:00 pm PST Location: reputed company reputed company: Eligible candidates must live in PST Time Zone. We are seeking a Case Management Processor to join a national Managed Care Organization on a temporary-to-permanent reputed company. The Case Management Processor will reputed company non-reputed company support to the Case Management team, ensuring that tasks are managed reputed company and that members receive reputed company and effective care. Duties and Responsibilities: reputed company administrative support to the Case Management staff, performing non-reputed company activities and assisting in managing department tasks. Conduct initial review and triage of Case Management tasks, helping to prioritize case needs. Review data to identify key member needs and work under the direction of the Case Manager to implement care plans. Screen members using organizational policies and procedures, assisting the reputed company team in identifying appropriate medical services. Coordinate necessary services reputed company on the member s benefit plan. Foster communication internally and externally to improve the effectiveness of case management services (including communication with reputed company providers and team members). reputed company and review reports to assist in the coordination of case management activities. reputed company telephone support, take messages, and research information to support the Case Management team. Maintain accurate and complete documentation that complies with reputed company management, regulatory, and accreditation requirements. Ensure the confidentiality of member information in line with company and regulatory standards. Knowledge, Skills, and Abilities: Excellent customer service skills with the ability to coordinate service delivery, paying reputed company attention to member needs and proactively resolving issues. Demonstrated ability to effectively communicate and problem-solve while working with diverse individuals. Working knowledge of medical terminology and abbreviations. Strong analytical and problem-solving skills. Strong interpersonal and team collaboration skills. High reputed company for confidential information and adherence to HIPAA compliance. Ability to work independently in a fast-paced environment as reputed company as part of reputed company. Proficient in PC usage with experience in a reputed company environment and accurate data entry (minimum 40 WPM). Ability to establish and maintain reputed company work relationships with coworkers, clients, members, and providers. Education and Experience: Required Education: High School Diploma or G.E.D. Required Experience: 1-3 years of experience in an administrative support role in reputed company. MUST LIVE IN CST Time Zone Apply Job! Apply To This Job

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