Senior Care Management Assistant

Job Summary

Providing administrative support to clinical Case Management teams, the full-time Senior Care Management Assistant will triage customer segment tasks, conduct outreach to members, and ensure compliance with documentation guidelines while working remotely in the Tri-State Area of Pennsylvania, New Jersey, or Delaware.

Key responsibilities

• Review and process case and condition management referrals, prioritizing work schedules based on member discharge statuses
• Conduct outreach calls to members, documenting referrals and interactions in the medical management system per NCQA guidelines
• Develop tickler lists for unfinished tasks and complete weekly and monthly statistics while serving as a preceptor for new Care Management Assistants

Required qualifications

• High school diploma; degree preferred
• Prior experience as a Care Management Assistant or in a Precertification Specialist role preferred
• Strong computer skills and ability to learn quickly
• Understanding of medical terminology and customer service skills
• Attention to detail and accuracy in documentation