Care Management Assistant Jobs

Ability to prioritize assignments and effective time-management skills.

Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.

Assists in the development and growth of the Care Management Team.

Arranges transportation as directed by the RN Case Manager or Social Worker.

Notifies RN Case Manager of any potential delays of moving the patient through the continuum.

Collaborates with RN Case Managers and other team members for optimal information

Good communication skills and good teamwork skills

£250 joining bonus is available!** T's&C's apply

Great rates of pay - UP TO £14.75 per hour

£250 joining bonus is available (T's&C's apply)

Enhanced rates of pay for bank holidays

Paid Mileage *We pay mileage back every 2 weeks to help with fuel costs expenses*

Effective time management demonstrated by meeting all requirements of the chronic disease management program.

Coordinates care for patients in the chronic disease management program.

Highly effective communication with members, external constituents, and internal stakeholders. Measurement, Member Satisfaction with Case Management and internal customer feedback.

Pharmacy technician certification and 2 years clinical experience preferred

Generates/manages the chronic disease trigger lists.

Serves as an associate and resource to patients, providers, staff, and external customers regarding policies, benefits, and care coordination.

Provide information and knowledge to the customer service, clinical and care management staff, including new or changing processes and workflows.

Must have a Care management certification.

3 years of experience in Care Management and Managed Care experience.

Experience as a mid-senior management in care management or other healthcare management

Provide oversight of and leadership with minimal guidance to the Belong Health Customer Service and Care Management staff.

Manage administrative healthcare costs and quality targets by using metrics to drive constant process improvement.

Previous TRICARE, managed care, or case/care/utilization management experience preferred

Receives, logs-in and distributes all case management referrals

Provides administrative support to department management and staff, such as distributing mail, correspondence, ordering office supplies, scheduling meetings and faxing documents

Handles phone call- backs for the Care Managers, schedules beneficiary appointments

Assists in the entry of Care Manager notes when needed

Contacts provider offices to gather data as needed for reports, problem resolution or to explain benefits

Experience with chronic & acute health conditions

Impeccable written and oral communication skills

A willingness to learn how to provide full patient care in the safest way

Displayed compassion for working with the elderly

Ability to problem solve quickly

Up to 22% Discount on Qualified Phone Carriers

The Care Management Support Assistant 2 contributes to administration of care management.

2 or more years of administrative support experience

Excellent customer service and communication skills

The ability to manage multiple or competing priorities

Administrative support experience in a healthcare industry

Knowledge of Medicare Medicaid guidelines

Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.

Identifies triggers for referral into Aetna’s Case Management, Disease Management, Mixed Services, and other Specialty Programs.

Familiarity with basic medical terminology and concepts used in care management.

2+ years’ experience as a medical assistant, office assistant or related experience.

Minimum of 6 months of call center experience required.

Effective communication, telephonic and organization skills.

3+ years of experience managing, coaching or developing staff; 2+ years of program or clinical operations management

Working knowledge of case management systems, community service and delivery systems, and proficiency with Microsoft Office suite.

An active RN license is strongly preferred. Additional state-specific qualifications may be required.

Plan, organize, and oversee timely completion of activities, including assessments, care plans, and discharge planning

Implement and interpret organizational and contractual policies and procedures; regularly review work to ensure policies and guidelines are appropriately applied

Perform other duties and special projects as assigned

Supporting residents with a wide range of differing requirements from companionship to personal care

We also offer a refer a friend bonus scheme

The Added Benefits Of Bupa

Assisting residents with a high standard of clinical, social and emotional care and recognising and meeting the specific needs of residents

Being part of a team supporting the nurse or senior care assistant in monitoring our residents and reporting change

Communicating with residents’ families, friends and other healthcare professionals

A great benefits package that includes healthcare coverage, paid time off, paid holidays, retirement plan, and more.

Medical office setting experience a plus

Current/valid BLS certification or must be obtained within the first 30 days of employment.

Skill in creating an atmosphere conducive to customer friendly relations by providing memorable, courteous, friendly and prompt customer service.

Bilingual (English/Spanish) communications skills helpful.

No weekends for the majority of our centers, 10 Paid Holidays and early Fridays

Experience/education in Gerontological Nursing preferred.

State-of-the-art, Employment, Enrichment and Education Center to provide hands-on opportunities for training and development of our team!

The Earn-As-You-Learn program is available at no cost to you with a 12 month education agreement.

Ability to write simple correspondence.

Ability to understand and carry out written and/or oral instructions.

Ability to read and comprehend simple instructions, short correspondence, and memos.

The Care Assistant provides resident care and report to clinical team members.

The Care Assistant performs and/or assists in general care and services for residents as outlined in care plans.

Must be able to read, write and communicate in English

Must be able to observe and report resident status and implement care plans

3 years prior management experience

Experience in Care Management, Home Care and or Independent Practice Associations

Certification in Case Management preferred

Conducts, regular random review of cases on a weekly basis for care management interventions, outcomes, collaboration

Identifies areas for improvement of existing operational policies and procedures and develops recommendations to the Director of Care Management

Interacts with the Medical Director or designee for care management activities

Evaluate proposed plans of treatment, as defined in the precertification requirements of the group plan

Identifies and refers cases for case management and disease management.

Appropriately refers cases to the Quality Management Department and/or Clinical Services Supervisor when indicated.

Ensures that all key functions are documented via Care Management and Coordination Policy

Maintains the integrity of the system information by timely, accurate data entry.

Reports potential utilization issues or trends to designated manager or clinical supervisor and recommendations for improvement

Medical, dental and vision benefits. Nazareth offers two affordable, low deductible health plans to choose from

Pick-up shift bonus – unlimited opportunities

PTO accrual from day one - accrue one day per pay period

Employer sponsored Life and Short-Term Disability insurance

Flexible schedule – rotating weekends

The Care Assistant provides resident care and report to clinical team members.

1+ years of administration support experience in a member facing healthcare environment

Working knowledge using MS Office Word, Excel, Outlook, Excel, Shared Systems, keyboard, web navigation, and troubleshoot and resolve general technical issues

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

Benefits starting day 1 of employment

Familiarity with care and well-being resources

1 to 3 years supervisory experience

3 to 5years professional practice experience (inpatient/outpatient experience)

Provides coaching and training to improve productivity within the scope of HR policies and procedures to all direct reports.

Performs other related duties and projects as assigned.

Active and unrestricted Delaware nursing license

RN or MSW-LCSW preferred - MSW LMSW

Ensure staff is able to facilitate member and provider needs through entire care management cycle.

Implement policies and procedures through oversight for complex cases and present to management

Coordinate the training of care management staff

Facilitate on-going communication between care management staff and providers

Assign cases and oversee care management caseloads including service care plan approval and member case file reviews

Compile and review multiple reports for statistical and financial tracking purposes to identify case management trends and assist in financial forecasting.

Degree in Medical Assistant or Medical Office experience preferred

Foundational knowledge base in medical terminology

Ability to multitask, with prioritization skill set

Ability to acknowledge and handle multiple personality and character traits in a polite and respective manner

Complete daily call assignments by utilizing call scripts to communicate to patients and providers regarding their recommended upcoming and/or overdue follow-up.

Answer inbound calls from patients and providers and address any questions and/or concerns.