Talent.com
Case Manager
Case ManagerArtech L.L.C. • Corona, CA, US
Case Manager

Case Manager

Artech L.L.C. • Corona, CA, US
Hace 14 horas
Tipo de contrato
  • Temporal
Descripción del trabajo

Job Description

Job description : Hello,

I hope you are doing well.

Please review the job description and let me know if you are available and interested in the position below.

Job Title : Grievances & Appeals Specialist / Case Manager

Location : Remote Corona CA / Portland Or- Remote

Duration : 12+ Months Contract

Client : HEALTHCARE

Total Position - 6

Job Description :

Required Level of Education and Preferred Level of Education : HS Diploma but bachelor’s is preferred

How many years of related experience are you looking for in your ideal candidate? 6 years customer service. Heavy writing and speaking with customers over the phone. Microsoft excel, word, really help. Healthcare environment is a plus. BlueShield, Aetna, Healthcare providers (this is a huge plus)

Expected Shift : M-F Normal business hours 8 : 30-5pm with opportunities for overtime.

Interview Process : 1 interview -phone interview (teams is preferred if possible)

Top Daily Responsibilities :

  • Research and respond to member grievances and appeals
  • Meet regulatory requirements
  • Improve Member Experience

Top (3) Required Skills Candidate Should Have :

  • Background in grievance and appeals case processing.
  • Strong organizational and time management skills
  • Ability to multi-task in a fast-paced environment
  • Additional Skills Preferred

  • Strong knowledge of federal & state regulations and Medicare / Medi-Caid regulations.
  • Ability to compose high quality, detailed written communication.
  • Excellent interpersonal, verbal and written communication skills.
  • Crear una alerta de empleo para esta búsqueda

    Case Manager • Corona, CA, US

    Ofertas relacionadas
    ABA Case Manager

    ABA Case Manager

    Intercare Therapy • Menifee, CA, United States
    A tiempo completo
    Intercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    UCP Case Manager

    UCP Case Manager

    Crittenton Services for Children and Families • Fullerton, CA, United States
    A tiempo completo
    In compliance with ORR Policy & Procedures, identify and process potential sponsors and expedite reunification for Unaccompanied Children. obtain required documentation; and ensure timely and accur...Mostrar más
    Última actualización: hace 19 días • Oferta promocionada
    Reserve Social Worker

    Reserve Social Worker

    United States Army • Garden Grove, CA, US
    Indefinido
    Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your spe...Mostrar más
    Última actualización: hace 15 días • Oferta promocionada
    Psychiatric Technician - Statewide in CA

    Psychiatric Technician - Statewide in CA

    California Department of Corrections and Rehabilitation • Altadena, California, US
    A tiempo completo
    Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Case Manager

    Case Manager

    Wellness Detox LA • Pomona, CA, US
    A tiempo completo
    Join our dynamic team at Quadrant Health Group!.Wellness Detox of LA, a proud member of the Quadrant Health Group, is seeking a passionate and dedicated Behavioral Health Case Manager to join our g...Mostrar más
    Última actualización: hace 1 día • Oferta promocionada
    Case Manager •

    Case Manager •

    Loma Linda University Health • Loma Linda, CA, United States
    A tiempo completo
    May work weekends & holidays to meet operational needs.The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical center with l...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Case Manager EX - Days - FT

    Case Manager EX - Days - FT

    University of California - Irvine Health • Orange, CA, United States
    A tiempo completo
    University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Social Worker MSW

    Social Worker MSW

    Loma Linda University Health • Murrieta, CA, United States
    A tiempo completo
    MH : Case Management and Social-.The Social Worker-Masters in Social Work (MSW) renders social services to patients, families and hospital staff by assessing patient's psychosocial needs and in coll...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Case Manager-ED •

    Case Manager-ED •

    Loma Linda University Health • Loma Linda, CA, United States
    A tiempo completo
    May work weekends & holidays to meet operational needs.The Case Manager-ED, Emergency Department, serves as a key member of the patient care delivery team. Utilizes clinical expertise, discretion, a...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Personal Injury Case Manager

    Personal Injury Case Manager

    Fiore Legal • Monrovia, CA, United States
    A tiempo completo
    Our busy law office is growing, and we need a legal case manager to work alongside attorneys and achieve clients goals.Our ideal candidate will have experience in case management as a paralegal or ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Case Manager EX - Days - FT - Orange

    Case Manager EX - Days - FT - Orange

    University of California - Irvine Health • Orange, CA, United States
    A tiempo completo
    University of California, Irvine, and the only academic health system based in Orange County.UCI Health is comprised of its main campus,. UCI Health Community Network in Orange and Los Angeles count...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Active Social Worker

    Active Social Worker

    United States Army • Lake Forest, CA, US
    Indefinido
    Army Social Workers use their skills to enhance unit readiness and the well-being of Soldiers and their families If you are a practicing professional as a social worker and want to combine your spe...Mostrar más
    Última actualización: hace 15 días • Oferta promocionada
    California Licensed Telephonic Case Manager

    California Licensed Telephonic Case Manager

    VirtualVocations • Fullerton, California, United States
    A tiempo completo
    A company is looking for a Telephonic Case Manager.Key Responsibilities Collaborate with healthcare providers and employers to develop and implement treatment plans for injured / disabled individua...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    North Carolina Licensed Case Manager

    North Carolina Licensed Case Manager

    VirtualVocations • Fullerton, California, United States
    A tiempo completo
    A company is looking for a Remote Case Manager.Key Responsibilities : Collaborate with a multidisciplinary healthcare team to monitor utilization patterns and facilitate appropriate care delivery ...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Case Manager

    Case Manager

    Loma Linda University Health • Loma Linda, CA, United States
    A tiempo completo
    May work weekends and holidays due to departmental needs.The Case Manager serves as a key member of the patient care delivery team in a Magnet Recognized large tertiary academic medical center with...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    REASONS CASE MANAGER

    REASONS CASE MANAGER

    Universal Health Services, Inc. • Rosemead, California, United States
    A tiempo completo
    Reasons Eating Disorder Center.Are you caring, compassionate and hardworking?.Apply today to join our amazing team!.Reasons Eating Disorder Center (Reasons). LGBTQIA+ communities to provide compassi...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Case Manager

    Case Manager

    VirtualVocations • Mission Viejo, California, United States
    A tiempo completo
    A company is looking for a Case Manager to manage patient cases throughout the treatment journey.Key Responsibilities Serve as a single point of contact for patients, caregivers, and healthcare p...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada
    Clinical Social Worker

    Clinical Social Worker

    California Department of Corrections and Rehabilitation • WRIGHTWOOD, California, US
    A tiempo completo
    Position : Clinical Social Worker Increased Salaries are Just the Beginning… The past few years have seen dramatic shifts in the health care landscape. California Correctional Health Care Services (C...Mostrar más
    Última actualización: hace más de 30 días • Oferta promocionada