Case Management Assistant

 
Position: Case Management Assistant

Job ID: 154387

Department: CARE COORDINATION I

Talent Area: Administrative Support

Full/Part Time: Full-Time

Regular/Temporary: Regular

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Summary:

We are searching for an Assistant Case Manager ­– someone who works well in a fast-paced setting. In this position, you will be responsible for assisting the Case Managers 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.

Think you’ve got what it takes?



Responsibilities :

  • Provides Support for Case Management Services.
  • Initiates member phone calls daily and identifies issues and refers to Case Managers and other health plan departments as indicated.
  • Documents in current case management system.
  • Responsible for ongoing analysis of claims data to identify needs for quality/performance
  • Screens and evaluates all calls and refers as necessary to Case Manager, Social Worker, or Transition Specialist and/or supervisor.
  • Completes all eligibility and benefit data available on members before routing to Case Manager or Transition Specialist.


Qualifications:

  • High school diploma or GED required
  • Two years’ experience in Case management, community outreach, healthcare, and/or health insurance experience OR
  • Three years’ general administrative experience required
  • Two years’ experience call/contact center experience preferred


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