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Case Management Processor Jobs

Case Processor Jobs
By U.S. Bank At United States
At least one year of customer service experience
Experience working in the financial services or banking industry
Experience working in an office/clerical environment
Demonstrated knowledge of applicable bank, Federal Regulations, Mastercard/Visa regulations and internal procedures
Strong verbal and written communication skills
Strong problem-solving and decision-making skills
Director, Case Management Jobs
By Coventry At Fort Washington, PA, United States
Achieve required phone and transaction performance as defined by VP, Case Management.
Adhere to company policies and legal requirements regarding personal health information.
­Excellent verbal, written and interpersonal communication skills.
A competitive salary commensurate with experience.
Stay current on medical facility and life insurance carrier policies, operational process flows and compliance criteria.
Strong attention to detail, highly organized and ability to maintain accuracy under time constraints.
Case Management Processor (47420) - Remote | Wfh
By Get It Recruit - Professional Services At Portland, OR, United States

Are you a dedicated professional with a solid grasp of medical terminology, excellent customer service skills, and telephonic experience? We are currently seeking a Case Management Processor to join ...

Healthcare - Case Management Processor
By Dice At United States
Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements.
Healthcare - Case Management Processor, Remote.
Provides support to the Case Management staff performing non clinical activities and supporting the management of the department.
Responsible for initial review and triage of Case Management tasks.
Screens members using Molina policies and processes assisting clinical Case Management staff as they identify appropriate medical services
Runs reports to assist in coordination of case management needs.
Case/Care Management Assistant
By Medasource At United States
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
Judicial Case Processor Iii
By State of Delaware At , Wilmington, 19801
Two years experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data.
Two years experience in applying laws, rules, regulations, standards, policies and procedures.
Six months experience in creating reports which includes combining and presenting data from multiple sources in an organized format.
JOB REQUIREMENTS for Judicial Case Processor III
To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/
Enters information into manual or automated systems.
Documentation Specialist Intermediate (Case Management)
By Vistra Communications At , Remote
Previous experience working in correspondence and document management systems, with specific emphasis on FOIA and other case management actions.
Experience with Microsoft Dynamics 365.
Previous experience with DOT is preferred, but not required.
Receives incoming requests, uploads requests into the tracking system(s), and tracks to resolution.
Formats, compiles, redacts personal identifying information (PII) and creates inventory lists.
Prepares FOIA documents for uploading to the public docket.
Case Management - Nurse, Senior
By Blue Shield of California At , Rancho Cordova, 95670 $85,360 - $128,040 a year
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Provide Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD)
Requires at least 5 years of prior experience in nursing, healthcare or related field
Extensive knowledge of evidenced based clinical practice guidelines particularly for chronic conditions.
Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirable.
Design appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomes
Litigation Case Management Specialist
By Lilly At , Indianapolis, 46204
Share lessons learned from case management in forums such as BULT (Business Unit Legal Team), Patent Litigation and LCMT meetings.
Bachelor's Degree and a minimum of 3 years litigation paralegal experience.
Or High School diploma/GED and 7 years of relevant litigation paralegal experience.
Ability to assess and manage risk in a highly regulated environment.
Strong written, spoken and presentation communication skills.
Demonstrated negotiation and influence skills.
Case Management Liaison - Case Management - Fixed-Term, Full-Time (1.0 Fte), 8 Hr. Rotating Shifts
By Stanford Health Care At , Palo Alto, 94305 $33.45 - $37.68 an hour
Reviews daily admission data and checks inpatient insurance benefits, authorized days and concurrent review requirements.
Performs admission, concurrent and retrospective reviews under the direction of the Case Manager, following established guidelines.
Verifies post-hospitalization benefits. Arranges and coordinates transportation, post-hospital placement, services and equipment.
Three (3) years of progressively responsible and directly related work experience
Knowledge of Windows-based office software, computers and operating systems
SHC Commitment to Providing an Exceptional Patient & Family Experience
Case Management Assistant (Cma)(Remote) ($19.08 - $29.04 / Hour)
By Talentify.io At United States
Maintain up-to-date list of contractual requirements and contact information for payers, distributing new information to care management staff and leaders
Perform various clerical tasks to support care management services, such as preparing reports, scheduling appointments, and distributing requests
Comprehensive benefits package that covers a wide range of programs to support your overall well-being
Competitive compensation and hourly rate based on experience
Communicate utilization review needs, days authorized, denials, and other payer communication to care managers and physician advisors
1 year of experience working in a clinical healthcare setting
Disaster Management Case Manager
By ICF At , Cupey $42,933 - $72,987 a year
Gather, scan, and store required program eligibility and other required information in electronic databases and case management systems
Experience facilitating client applications to public benefit programs
Communicate with applicants by phone, email and in-person to explain program requirements, obtain documents and provide case status
Assist case managers with their daily tasks
Must have fluent verbal and written communication skills, bilingual Spanish and English
Bachelor's degree or 4+ years professional experience
Case Management Processor (Remote - Must Reside In Nv)
By Molina Healthcare At United States
Provides telephone, clerical, and data entry support for the Case Management team.
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level
Responsible for initial review of assigned case levels to assist in Case Management assignment.
Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify appropriate medical services.
Promotes communication, both internally and externally to enhance effectiveness of case management services.
Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan.
Case Management Assistant (Cma)(Remote)
By Intermountain Health At Las Vegas, NV, United States
Requests and retrieves medical records from the Health Information Management for retrospective utilization or quality assurance review.
Promptly communicates utilization review needs, days authorized, denials, and other communication from the payers to care managers and physician advisors.
Collaborates with the revenue cycle staff and others to research payment sources.
Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
Consistently documents all communication, actions, and information.
Promptly reports issues and concerns to the departmental chain-of-command.
Case Management Coordinator (Hybrid In Miami)
By Carnival Corporation At , Miami
Excellent interpersonal and communication skills (verbal and written) with providers, ship personnel, employees, internal departments, and management
Address simple queries or concerns raised during the Case Management Process or the Seafarer Health process
2+ years of work experience with similar scope and responsibilities is required
College degree may substitute for work experience
Ability to apply analytical and logistic skills; maintain attention to detail and accuracy
Proficiency in the use of computer business applications with working knowledge of Word and Excel
Case Manager - Inpatient Case Management
By Scripps Health At , San Diego, 92103 $55.86 - $83.82 an hour
Case Management and/or home care experience preferred.
Case management certification highly preferred.
The CM ensures that the patient/family agrees with and understands this transition plan and that the plan is implemented appropriately.
Works in collaboration with utilization review nurse to ensure that reviews are completed timely.
Bachelor of Science in Nursing (BSN) highly desired.
Current BLS for Health Care Provider from American Heart Association.
Manager, Case Management Nurse Management
By Blue Shield of California At , Long Beach $109,120 - $163,680 a year
Comprehensive knowledge of case management, discharge planning, utilization management and community resources. Strong supervisory, communication and negotiation skills.
Certified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirements
Case Management, Quality or other equivalent certification that is related to the specific area to be managed is required.
Establish operational objectives for department or functional area and participate with other managers to establish group objectives
Be responsible for team, department, or functional area results in terms of planning, cost in collaboration with Sr Manager
Participate in the development and implementation of the annual budget under the direction of the Director
Rn - Case Management
By Lead Health At Torrance, CA, United States

Travel, Licensure, and Certification Reimbursements

Case Management Specialist Jobs
By University of Maryland Medical System At , Baltimore
Reports adverse events and near misses to appropriate management authority.
One year professional experience performing mental health services is required. Experience with those having serious and persistent mental illness preferred.
Knowledge of community resources is essential. Knowledge of relevant criteria and application process is desirable.
Bachelor’s Degree in social work or a related field is required.
Current, valid, MD state driver’s license is required. Use of employees own personal vehicle is required.
Must have demonstrated interest in community outreach.
Case Management Data Coordinator
By CareSource At , Remote $33,200 - $53,000 a year
Experience with data entry and management
Coordinating with care managers, community health workers, and support staff regarding member information required to complete accurate data entry.
Provide data management support as needed
Associate’s Degree or other formal health education / certification is preferred
Medicaid, Medicare and Managed Care experience is preferred
Review medical documentation to identify relevant data and extract required information needed to complete data entry fields.