Case Management Specialist

Responsible for all the long-term HMO (Health Maintenance Organization) authorizations for residents of a skilled nursing facility who are enrolled in a Managed Medicaid plan.
  • Sending regular clinical updates (weekly and monthly)
  • Secure medical authorizations for patients
  • Coordinate with facilities to obtain necessary documentations (i.e. Physician’s Order of Medical Necessity)
  • Maintain and update patient records
  • At least 6 months experience handling a Medicare/ Medicaid account is required
  • Background in other healthcare related accounts is a plus
  • Excellent verbal and written communication skills
  • Proficient in using computers and various applications
  • Good working history with previous employers


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