JobMesh

Case Management Assistant

Driscoll Children's Hospital · Corpus Christi, Texas, US

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job informa...

Job description

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. GENERAL PURPOSE OF JOB: This position provides technical support to the Utilization Management (UM) Department to ensure all referrals/authorizations, phones calls, reports are addressed and completed in a timely manner. ESSENTIAL DUTIES AND RESPONSIBILITIES: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the Director, Utilization Management as required. Knowledge: Skills: Responsibilities: - Knowledge of Medicaid managed care and health plan processes preferred. - Medical terminology preferred. - Prior medical office, hospital experience, or MCO experience required. - Ability to understand complex situations and...