Job Description
Description:
Location: Indiana (Must reside within 50 miles of Indianapolis)
Position Type: Long term Contract
Hourly Rate: $19.00
Number of Openings: 1
Hours: Monday-Friday 8 am-5 pm
BKG is seeking a Medical Management Specialist (Non-Clinical) to join our team, who will be responsible for executing case management activities, including telephonic member screening of needs, care planning, care plan implementation, service coordination, monitoring and follow-up, reassessment, case conferencing, crisis intervention, and case closure. Provide NON-CLINICAL support to the medical management or operations area. Review case records and gather clinical data to determine the proper department or area to assign the case. This resource’s primary role will be to receive inbound member case management calls, triage member needs via screening, provide appropriate community and other resources to the member, make appropriate member referrals to clinical case managers, and return voicemail calls received on the case management line. Will be referred to as MMS through WO.
Key Responsibilities:· Monitor and manage case management inbound phone queue including return of voicemails, triaging member needs via screening, and assisting member with non-clinical support needs.
· Gathers information regarding member or case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).
· Provides information to members regarding in-network providers or general program information, when requested.
· Provides resources to member, as appropriate.
· May assist with complex cases.
· May act as liaison between Case Management and other internal departments.
· Maintains and updates tracking databases, as indicated.
· Prepares reports and documents all actions, as indicated.
· Responsibilities exclude conducting any utilization management review activities or any other clinical role which require interpretation of clinical information.
Work Schedule:Interested candidates must reside within the state of Indianapolis. If you are committed to making a positive impact on healthcare outcomes and are excited to support our mission, we encourage you to apply.
Requirements: Requirements:What We Offer: Registered Nurse -CVICU Join our dynamic team in the CVICU at Novant New Hanover! We're seeking dedicated nurses... ...total rewards package ~ Mental Health, well-being, telehealth, and therapy resources for you and your family Facility...
Job Opportunity Agency: Omnicom Health Medical Communications Job Function: Medical Scientific Services Job Subfunction: Medical Writing Job Description: To be updated Omnicom's policy requires employees to work in the office for a minimum of three days ...
...Livein position, 6 days per week10 hours per dayBased in Chelsea, LondonSalary: 67,000 gross per annumPrivate accommodation providedKey ResponsibilitiesFull nursery duties and daytoday care of young childrenCreating a safe, stimulating and structured environment...
...is an 8(a) Certified General Contractor performing with Federal, State & Municipals in the Hampton Roads Area. A Project Manager Assistant (PMA) plays a vital role in supporting medium-sized project teams by working directly with Estimators and Project Managers. This role...
...Recruiter - Business & Engineering at Insight GlobalMust Haves13 years of handson microbiology lab experience (academic or industry).Ability to accurately record and organize experimental results.Experience preparing media, plating samples, and maintaining a clean...