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Job description
SUMMARY
nThis position is responsible for organizing workflow, managing communications, tracking critical information, creating reports, and establishing links with community resources. The position is also responsible for optimizing the Case Management process and the Case Manager's efficiency and effectiveness by performing the following duties.
nnProvides support to Clinical Operations staff and the Director of the department as directed.
nCompletes special projects or duties to assist assigned team Case Managers.
nIndexes and creates authorizations in the appropriate software program.
nActs as a resource and provides training to Case Assistant I team members.
nWorks closely with RN Case Managers and Utilization Reviewers to ensure accurate and complete required documentation that meets risk management and regulatory requirements.
nPerforms administrative tasks which include filing, scanning, database management, and data entry.
nAssists RN Case Managers with the coordination of medical services to ensure the delivery of high-quality cost-effective healthcare services.
nExecutes all duties in accordance with State and Federal requirements to achieve optimal outcomes for members.
nAssists with preparation of reports and spreadsheets.
nPrepares member correspondence and other written communication as needed.
nTriages telephone calls and routes to appropriate staff as necessary.
nProactively identifies and resolves issues to promote positive outcomes for members.
nPromotes communication, both internally and externally, to enhance effectiveness of case management services.
nProcesses Benevolent Fund requests.
nAssists with special populations and/or projects as assigned.
nPerforms member outreach.
nMaintains confidentiality and complies with HIPAA rules and regulations.
nMaintains punctual, regular and predictable attendance.
nWorks collaboratively in a team environment with a spirit of cooperation.
nDisplays excellent communication skills including presentation, persuasion, and negotiation skills required in working with members, providers, and community partners and including the ability to communicate effectively and remain calm and courteous under pressure.
nRespectfully takes direction from manager.
n nEDUCATION and/or EXPERIENCE
nHigh school diploma or general education degree (GED); and three to five years of related experience and/or training in a medical clinic or other healthcare environment. Knowledge and understanding of medical coding, medical abbreviations, and medical terminology.
nCOMPUTER SKILLS
nJob requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, word processing, communicate by e-mail and use scheduling software. Experience with Electronic Medical Records, Electronic Health Records, and/or other Health Information related technology.
nCERTIFICATES, LICENSES, REGISTRATIONS
nCNA or MA certification is preferred.
nWe provide a competitive salary and excellent benefits, including vacation, medical, dental and vision insurance, and 401(k) pension plan. To apply for this position, please submit a cover letter and resume. We are an Equal Opportunity Employer.
nOnsite Position
nBackground Check & Drug Screen Required
Worksite address
klamath falls, OR, 97602, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.