Case Management Assistant

We are looking for a Case Management Assistant, someone who’s ready to be part of the best ranked children’s hospital in Texas, and among the best in the nation. In this position, you will assist the Case Manager in the identification of member needs, initiation of member contact, provision of member and  

provide education and coordination of community resources to promote optimal health.

 

Skills & Requirements

Required H.S. Diploma or GED

Required 2 years of case management, community outreach, healthcare, and/or health insurance experience and 3 years of general administrative experience

Preferred 2 years of Call/Contact Center experience

 

Job Duties & Responsibilities

Provides Support for Case Management Services such as answers incoming fax, email and phone requests as evidenced by fax log, inbox, and event tracking.

Initiates member phone calls daily and identifies issues and refers to case manager and other health plan departments as indicated. Documents in current case management system.

Provides updated case management database and statistics monthly and quarterly. Submits data collection in a timely manner monthly.

Provides assistance in telephonic outreach and data collection through special disease management projects that are grant based.

Accurately schedules, cancels, and documents new and/or follow-up appointments for both face to face and telephonic requests, as needed for case manager and transition specialist using scheduling calendar application.

Ensures that projects assigned are completed timely and accurately to support member population assessments and appointments.

Receives initial incoming faxes, emails, or phone requests into the department, gathering demographic and benefit data, documenting in appropriate system and evaluating if the request needs to be referred to a registered nurse, social worker, or transition specialist. This is determined through documented policy and procedure.

Completes all eligibility and benefit data available on members before routing to case manager or transition specialist.

Assists internal and external departments by providing communication and education regarding case management and transition services and processes.

Preferred 2 years of Call/Contact Center experience

 

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.