Case Management Assistant - Care Coordination I - 032

We are searching Case Management Assistants.   Someone who will assist the Case Manager in the identification of member needs, initiation of member contact, provision of member and provider education and coordination of community resources to promote optimal health.

 

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Qualifications:

• H.S. Diploma or GED required
• 2 years Case management, community outreach, healthcare, and/or health insurance experience required or 3 years General administrative experience required
• 2 years Call/Contact Center experience preferred

Responsibilities:

• Provides Support for Case Management Services
• Answers incoming fax, email and phone requests as evidenced by fax log, inbox, Customer Relationship Management (CRM)s, and event tracking. 
• Initiates member phone calls daily and identifies issues and refers to care/case manager and other health plan departments as indicated. Documents in current case management system. 
• Provides updated case management database and statistics monthly and quarterly. Submits data collection in a timely manner monthly. 
• Tracks member interactions and provides assistance in telephonic outreach and data collection through special disease management projects that are grant based. 
• Accurately schedules, cancels, and documents new and/or follow-up appointments for both face to face and telephonic requests, as needed for case manager and transition specialist using scheduling calendar application. 
• Ensures that projects assigned are completed timely and accurately to support member population assessments and appointments. 
• Screens and evaluates all calls and refers as necessary to case manager, social worker, or transition specialist and/or supervisor. 
• Gathers data for statistics by product, service, and network and maintains all required logs. 

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.