Case Management Specialist at Revelations Counseling & Consulting LLC

Fredericksburg, Virginia, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Mar, 26

Salary

0.0

Posted On

19 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Attention To Detail, Organizational Skills, Problem Solving, Customer Service, Communication, Team Player, Technical Skills, Multi-Tasking, Independent Thinking, Empathy, Computer Literacy, Time Management

Industry

Mental Health Care

Description

Case Management Specialist Job Summary 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. Government Reporting Direct Education & Experience Required * 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 Preferred * 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 Key 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 Competencies Technical Skills Working knowledge of the healthcare system and medical terminology. Knowledge of TRICARE programs and benefits, managed care programs or other government healthcare programs. Problem Solving / Analysis Ability to solve problems through systematic analysis of processes with sound judgment; Has a realistic understanding of relevant issues. Organizational Skills Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; Detail-oriented. Multi-Tasking / Time Management Prioritize and manage actions to meet changing deadlines and requirements within a high volume, sometimes stressful environment. Independent Thinking / Self-Initiative Critical thinkers with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without direction and to find necessary resources. Communication / People Skills Ability to influence or persuade others under positive or negative circumstances; Adapt to different styles; Listen critically; Collaborate. Team-Building / Team Player Influence the actions and opinions of others in a positive direction and build group commitment. Respectful behavior in a diverse workforce Empathy / Customer Service Customer-focused behavior; Helping approach, including listening skills, patience, respect, and empathy for another's position. Respectful behavior when working with a diverse population Computer Literacy Ability to function in a multi-system Microsoft environment using Word, Outlook, TEAMs, TriWest Intranet, the Internet, and department software applications. Commitment to Task Ability to conform to established policies and procedures; exhibit high motivation. Working Conditions Working Conditions * Extensive computer work with prolonged sitting * Virtual team members and workflows * Ability to do repetitive work and maintain production standards * Department of Defense security clearance required ** This job description indicates the general nature and levels of work expected of the incumbents. It is not designed to cover or contain a comprehensive listing of activities, duties, responsibilities or competencies required of an incumbent. Incumbents may be asked to perform other duties as required. **

Responsibilities

The Case Management Specialist will evaluate and process tasks within the medical management system and manage communications with beneficiaries and providers. They will also support the leadership team by coordinating daily activities and resolving issues.