Role overview

Qualifications

Excellent communication/customer relation skills
Attention to detail
Proficiency in documentation
Proficient in technology/computer skills

Responsibilities

Provides support to the Case Management staff performing non-clinical activities
Responsible for initial review and triage of Case Management tasks
Reviews data to identify principal member needs and implements care plans
Coordinates required services in accordance with member benefit plan

Key facts

Remote from: Washington (USA)
Full time
Case Manager
English

Hard skills

Internal Documentation Data Entry

Other skills

Communication
Detail Oriented
Technical Acumen
Customer Service
Problem Solving
Social Skills
Analytical Thinking
Client Confidentiality
Time Management
Teamwork

About the company

Saviance Technologies Pvt. Ltd.

Saviance Technologies is a US Healthcare IT Service provider focusing on Patient Engagement with Innovative Products and Solutions like Patient Intake Tablet, iHealthConnect Wellness Portal, Mobile Applications, Actionable Analytics and ICD-10 Testing Services. Incorporated in 1999 in New Jersey, with over 15 years of excellent industry track record, Saviance offers services & solutions that enable enterprises to achieve critical objectives. Saviance is a Gold Category Corporate Member with Healthcare Information Management Systems Society (HIMSS), member of mHealth Alliance and Corporate member of NJ-HITEC. We are awarded by INC. 5000 as one of the fastest growing privately held companies in North America. Saviance is also ranked among the Fast 50 Asian American Businesses in the United States by USPAACC (US Pan Asian American Chamber of Commerce) and selected as a 2014 "Top Business" recipient byDiversityBusiness.com. A certified Minority Business Enterprise recognized by NMSDC, Saviance is also partner with leading global brands such as Microsoft, Amazon Web Services, Apple, Samsung and Red Hat.

Company details

Company typeSME

Company size51 - 200

Links

Website LinkedIn See all jobs

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Job description

Hours 8-5 PST, Monday - Friday

• Will the position be 100% remote? Yes
• Are there any specific location requirements? Must reside in WA
• Are there are time zone requirements? Member outreach will be in Pacific time, 8 a.m – 5 p.m.
• What are the must have requirements? Excellent communication/customer relation skills; attention to detail; proficiency in documentation; proficient in technology/computer skills
• What are the day to day responsibilities? Outbound calls to Medicaid members to identify medical/BH/Social Determinants of health needs followed by referral/assignment to appropriate team
• Is there specific licensure is required in order to qualify for the role? No
• What is the desired work hours (i.e. 8am – 5pm) 8-5, Monday through Friday

Will require dual monitors and a docking station.

Potential to go perm: I think there is a possibility we may need this position on a permanent basis; however, we need to get caught up first and then see where we are at, through the end of the 6 mos we have the temp staff. If it looks like will need the resource ongoing, I will request a permanent full time position. There just isn't a way to determine that until we get through our backlog.

Duties and Responsibilities (List all essential duties and responsibilities in order of importance)
· 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.
· Reviews data to identify principle member needs and works under the direction of the Case Manager to implement
care plan.
· Screens members using Molina policies and processes assisting clinical Case Management staff as they identify
appropriate medical services
· Coordinates required services in accordance with member benefit plan.
· Promotes communication, both internally and externally to enhance effectiveness of case management services
(e.g., health care providers and health care team members).
· Runs reports to assist in coordination of case management needs.
· Provides support services to case management team members by answering telephone calls, taking messages
and researching information.
· Maintains accurate and complete documentation of required information that meets risk management, regulatory,
and accreditation requirements.
· Protects the confidentiality of member information and adheres to company
Knowledge, Skills and Abilities ( List all knowledge, skills and abilities that are necessary to perform the job
satisfactorily)
· Strong customer service skills to coordinate service delivery including attention to members/customers, sensitivity
to concerns, proactive identification and resolution of issues to promote positive outcomes for members
· Demonstrated ability to communicate, problem solve, and work effectively with people
· Working knowledge of medical terminology and abbreviations
· Ability to think analytically and to problem solve.
· Good interpersonal/team skills
· Must have a high regard for confidential information
· Ability to work in a fast paced environment
· Able to work independently and as part of a team.
· PC experience in Windows environment and accurate data entry at 40 WPM minimum.
· Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
· Ability to establish and maintain positive and effective work relationships with coworkers, clients, members,
providers and customers

Required Education:
High School Diploma or G.E.D.

Required Experience:
Two or more years experience as a medical assistant,
office assistant or other healthcare service administrative
support role.