Case Assistant II
Cascade Comprehensive Care Inc
- Klamath Falls, OR
- Permanent
- Full-time
- Provides support to Clinical Operations staff and the Director of the department as directed.
- Completes special projects or duties to assist assigned team Case Managers.
- Indexes and creates authorizations in the appropriate software program.
- Acts as a resource and provides training to Case Assistant I team members.
- Works closely with RN Case Managers and Utilization Reviewers to ensure accurate and complete required documentation that meets risk management and regulatory requirements.
- Performs administrative tasks which include filing, scanning, database management, and data entry.
- Assists RN Case Managers with the coordination of medical services to ensure the delivery of high-quality cost-effective healthcare services.
- Executes all duties in accordance with State and Federal requirements to achieve optimal outcomes for members.
- Assists with preparation of reports and spreadsheets.
- Prepares member correspondence and other written communication as needed.
- Triages telephone calls and routes to appropriate staff as necessary.
- Proactively identifies and resolves issues to promote positive outcomes for members.
- Promotes communication, both internally and externally, to enhance effectiveness of case management services.
- Processes Benevolent Fund requests.
- Assists with special populations and/or projects as assigned.
- Performs member outreach.
- Maintains confidentiality and complies with HIPAA rules and regulations.
- Maintains punctual, regular and predictable attendance.
- Works collaboratively in a team environment with a spirit of cooperation.
- Displays excellent communication skills including presentation, persuasion, and negotiation skills required in working with members, providers, and community partners and including the ability to communicate effectively and remain calm and courteous under pressure.
- Respectfully takes direction from manager.