You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: The Case Care Management Assistant provides a variety of administrative functions and customer service for the Case/Care and Utilization Management functions. The Assistant processes service requests, authorizes referrals as appropriate, and ensures all case data is correctly entered in the various systems. The Assistant calls beneficiaries to schedule appointments, contacts providers to gather information, and responds to beneficiary/provider questions and requests. The Assistant collects, compiles and analyzes data and information and distributes reports as directed. The Assistant also provides department administrative support, such as scheduling meetings, distributing/preparing correspondence, faxing documents, transcribing notes and preparing reports.- Receives, logs-in and distributes all case management referrals
- Authorizes services or referrals not requiring clinical review
- Provides coverage determination and/or eligibility status
- Handles phone call- backs for the Care Managers, schedules beneficiary appointments
- Assists in maintaining the integrity of the data systems by entering information into department’s data systems
- Assists in the entry of Care Manager notes when needed
- Assists in the data analysis in month end research of problem authorizations
- Contacts provider offices to gather data as needed for reports, problem resolution or to explain benefits
- Prepares regular and ad hoc reports and distributes as needed
- Acts as liaison between the UM/CM when needed
- Provides administrative support to department management and staff, such as distributing mail, correspondence, ordering office supplies, scheduling meetings and faxing documents
- Supports department document control function by receiving and distributing cases from other sources, maintaining order in the Utilization Management document control room, and working cooperatively with other departments
- Other duties and projects as assigned
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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