Case Management Specialist

Revelations Counseling & Consulting LLC•Fredericksburg, VA

9d•Remote

About The Position

A Case Management (CM) Specialist lends administrative support to Case Managers and Care Coordinators in the Case Management program. As a team member, you will regularly collaborate and engage with other team members to support daily operational tasks and duties assigned. Along with ensuring accuracy and efficiency, this role requires significant attention to detail, ability to prioritize and organize your work and regularly assess current workflows and create efficiencies. Duties are primarily performed in a virtual work environment.

Requirements

High School Diploma or G.E.D.
U.S. Citizenship
Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
Minimum 2 years’ experience in a health care customer service environment
Experience with Microsoft Office suite

Nice To Haves

Medical Assistant (MA) or Certified Nursing Assistant (CNA)
Knowledge of Medical Terminology
Prior experience in a Managed Care Organization (MCO)
Prior experience with TRICARE or VA health plans

Responsibilities

Proactively evaluate and process assigned tasks within the medical management system
Schedule and manage meetings in Outlook and system calendaring functions
Process requests for beneficiary and/or provider education within established timeframes
Handle incoming and outgoing phone calls, including an inbound phone queue regarding care coordination or case management inquiries in an efficient and professional manner
Respond to daily email messages in an efficient and professional manner
Utilize standard program processes to respond to beneficiary, provider and staff requests
Support the CM leadership team by coordinating tasks and day-to-day activities, as requested
Efficiently identify and resolve issues or address barriers to daily work
Foster cross-functional communication with other organizational teams/departments
Ability to work independently and collaboratively in a fast-paced environment
Performs other duties as assigned
Regular and reliable attendance is required