Work directly with the Supervisor and Manager to provide additional resources to the case management staff. This position does not provide any clinical review or decisions.
This individual is responsible to ensure the referrals are set up in the Utilization Review/Case Management system and promptly assign to the case manager. The Case Management Assistant will answer incoming calls, screen, respond and route the calls. This position requires the ability to work independently to meet deadlines, as well as an excellent phone demeanor and a desire to provide exceptional customer service. The position requires knowledge of medical terminology, the understanding of referral criteria by client and/or jurisdictions.
ESSENTIAL DUTIES AND RESPONSIBILITIES RESPONSIBILITES:
reviewers and directs to the appropriate handling party
rules and regulations
Responsibilities of the position include, but are not limited to:
***Other duties as assigned
Additional Functions and Responsibilities
Education: High school diploma required. Medical or Managed Care background preferred and/ or Certified Medical Assistant
Experience: Experience in healthcare and or managed care related fields, Minimum of one year of working in a medical or managed care environment preferred. Medical Terminology preferred.
Knowledge, Skills and Abilities: