Department: Specialty Care Management
Location: Little Rock, Arkansas
Immediate Supervisor: Mary Manriquez
Posted: March 21 2017
Essential Functions of Job:• Secure, track and review records via multiple media • Identify program specific documents within member’s records • Obtain appropriate medical records from various health care providers • Skilled telecommunications in a high-touch member program • Encourage and support members participating in the program with sensitivity and compassion • Educate members regarding program policies and procedures • Assist members with travel needs related to medical necessities • Develop and maintain positive relationships with external vendors • Receives and collects data necessary for program enrollment, review, and reporting • Responsible for providing seamless customer service to include updating member information, vendors portals, and internal documentation • Develop and maintain a positive enthusiastic working relationship with all staff, as well as, all members, caregivers, and external service providers • Strong ability to identify appropriate resources for research and problem resolution • Performs clerical duties including filing, faxing, and answering telephone calls and data entry for program administration • Responsible for all incoming and outgoing electronic and paper mail, review and prepare documents for distribution • Coordinate mailings, fulfillment requests and manage document storage • Ability to manage client emergency contacts outside of business hours on a rotating basis • Other duties as assigned by supervisor • Ability to report to the office
Qualifications:• College Degree required: Associates or Bachelors of Science in Nursing • Current Arkansas nursing license required • Effective organizational and prioritization skills • Excellent oral and written communication skills • Basic knowledge of Microsoft Office software applications (Word, Excel, Outlook, Access) • Ability to work in a fast paced multi-tasking environment • Strong interpersonal skills with ability to function as a positive team member • Strive to meet program deadlines • Experience in Case Management a plus • Minimum of Five years clinical nursing experience preferred
The Company considers applicants without regard to race, color, national origin, sex, religion, mental or physical disability, marital status, age 40 years and over, sexual orientation or gender identity, veteran's status, or other characteristic protected by applicable law.
Applications for this vacancy will be received for 3 working days after the Posted date from Employees of HealthSCOPE Benefits with more than one year of service.
Applications for this vacancy will be received for 10 working days after the Posted date from External Applicants.