US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Case Management Processor:
-
Employment Type:
Contractor
-
Location:
DFW Airport, TX (Onsite)
Do you meet the requirements for this job?
Case Management Processor
Careers Integrated Resources Inc
DFW Airport, TX (Onsite)
Contractor
Job Description:
Will the roles be fully remote? Yes
Are there any specific locations the candidates should be in? Texas - DFW, Harris, and Bexar counties
What is the expected schedule (include dates/time/timezone) Monday - Friday, 8am to 5pm CST
What are the day to day job duties?
Provide non-clinical operational support for Waiver coordination.
Facilitate communication between Waiver coordinators and the state Program Support Unit.
Responsible for receiving the initial State referrals for waiver services and working with the Long-Term Services & Supports (LTSS) Coordinator to schedule the initial assessment.
Monitor status for initial assessment, reassessment, and transition assessments for members.
Interface with the State agency that determines eligibility and the LTSS Coordinator to process and obtain approval of Waiver services.
Monitors transition process of Nursing Facility members in custodial beds to return to the community for 'Money Follows the Person' program.
Initiates referral for Medicare and Waiver process if member is not already Medicare or waiver established.
Tracks referrals and case documents via designated state systems.
Track activities occurring within the transitional, assessment and authorization processes, using internal systems and designated state systems, and report results to coordinators, supervisors, and the State agency.
Ensure Medicaid and Waiver eligibility have been requested and received from state partners before transition or services are initiated.
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Attend internal meetings and regularly scheduled calls as assigned.
Other administrative functions as needed.
Top Skills Required:
Required Education/Certification(s):
Required Years of Experience:
High Diploma/GED
1-3 years experience in an administrative support role in healthcare.
Experience demonstrating ability to handle multiple work tasks, prioritize tasks, and solve problems.
Experience demonstrating strong communication skills, internal and external, for the provider outreach
Organization
Proficient in Microsoft Office with intermediate knowledge in Excel.
Ability to manage a caseload with minimal supervision
Accurate Documentation/data entry
Will the roles be fully remote? Yes
Are there any specific locations the candidates should be in? Texas - DFW, Harris, and Bexar counties
What is the expected schedule (include dates/time/timezone) Monday - Friday, 8am to 5pm CST
What are the day to day job duties?
Provide non-clinical operational support for Waiver coordination.
Facilitate communication between Waiver coordinators and the state Program Support Unit.
Responsible for receiving the initial State referrals for waiver services and working with the Long-Term Services & Supports (LTSS) Coordinator to schedule the initial assessment.
Monitor status for initial assessment, reassessment, and transition assessments for members.
Interface with the State agency that determines eligibility and the LTSS Coordinator to process and obtain approval of Waiver services.
Monitors transition process of Nursing Facility members in custodial beds to return to the community for 'Money Follows the Person' program.
Initiates referral for Medicare and Waiver process if member is not already Medicare or waiver established.
Tracks referrals and case documents via designated state systems.
Track activities occurring within the transitional, assessment and authorization processes, using internal systems and designated state systems, and report results to coordinators, supervisors, and the State agency.
Ensure Medicaid and Waiver eligibility have been requested and received from state partners before transition or services are initiated.
Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
Attend internal meetings and regularly scheduled calls as assigned.
Other administrative functions as needed.
Top Skills Required:
Required Education/Certification(s):
Required Years of Experience:
High Diploma/GED
1-3 years experience in an administrative support role in healthcare.
Experience demonstrating ability to handle multiple work tasks, prioritize tasks, and solve problems.
Experience demonstrating strong communication skills, internal and external, for the provider outreach
Organization
Proficient in Microsoft Office with intermediate knowledge in Excel.
Ability to manage a caseload with minimal supervision
Accurate Documentation/data entry
Get job alerts by email.
Sign up now!
Join Our Talent Network!