Texas Licensed Medical Case Manager Assistant

Job Summary

To support case management operations, the full-time Texas Licensed Medical Case Manager Assistant will handle incoming calls, manage referrals in the Utilization Review system, and assist case managers with documentation and workflow in a fully remote environment.

Key responsibilities

• Respond to phone inquiries and direct them to the appropriate parties
• Assist case management staff by preparing routine correspondence and obtaining clinical information from providers
• Monitor dedicated queues and ensure timely processing of determinations and correspondence

Required qualifications

• High school diploma or GED required; medical or managed care background preferred
• Minimum of one year of experience in a medical or managed care environment preferred
• Knowledge of medical terminology and referral criteria
• Bilingual in English and Spanish preferred
• Proficiency in Microsoft Office applications and ability to navigate a paperless environment