Disease Management Case Manager jobs in Sumter, SC

Job Role

The Case Management Associate will assist the Case Management department in the administration of CM functions to include, telephonic follow-up to members; monitor member eligibility; updating database information and research of support services for families. This is a full-time, remote position with five 8-hour work days per week, between the hours of 8:30 am to 7:00 pm Monday-Friday.

Job Responsibilities:

• Coordinates with the Case Managers in follow-up outreach to unenrolled families
• Track and document status of case in database
• Communicate basic program information to families and facilitate follow-up call by Case Manager
• Monitor member eligibility
• Update database with member demographic information
• Research support groups, member resources and provider information
• Facilitate case closures
  .

Qualifications

• 1 – 3 years of experience in customer service in a healthcare environment.
• HS diploma or equivalent required. College degree preferred.
• Must be fluent in English. Fluent in Spanish is desired.
• Insurance/payor experience preferred.
• Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas as well as interact professionally and effectively with members, clients, and staff from all departments within and outside the company.
• Problem solving skills with the ability to look for root causes and implementable, workable solutions.
• Must be proficient at an intermediate to advanced level in Outlook, Excel, PowerPoint, & Word.
• Must be self-motivated and willing to learn multiple tasks.
• Must be well-organized and able to prioritize tasks.
• Must have commitment to excellence in customer service.

Benefits/Culture

Our team is our most important asset. some of the benefits we offer our team are:

• 401K with company match
• Medical and dental benefits
• Long Term Disability
• Paid Time Off

ProgenyHealth positively recruits people from diverse backgrounds, including individuals with disabilities - if you need an accommodation to interview, please contact us by email: careers@progenyhealth.com