Care Management Associate

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2 days old

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The range for this role is $17.07 - $21.88

Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education. This role includes opportunity to receive an annual bonus target of 5% of annual eligible earnings. Actual bonus amounts are determined by length of time in role, individual performance, and organizational performance.

Interested candidates must be willing and able to work onsite minimum 4 times per week in either our Melbourne, FL or Orlando, FL office.  

The Mission

At Christian Care Ministry we believe that Christians can, and should, share in one another’s burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief.

The Team

Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren’t perfect people, we are serving our perfect God to the best of our ability.

The Job

The Care Management Associate specializes in the comprehensive preparation of clinical casework and provides administrative support services to the various departmental teams. Preparation of casework utilizes critical thinking, computer-based, and telephonic skills with healthcare providers and Medi-Share members to identify, research, conclude, document, and distribute fully prepared clinical casework for targeted medical conditions and healthcare sharing plan provisions. 

Essential Job Duties & Responsibilities

  • Work on a wide range of tasks in the clinical administrative scope requiring critical thinking skills and judgment
    • Analyze the departmental inflow of correspondence, information, and requests received via pre-notifications, queues, emails, mail/faxes, documents, etc. for potential casework
    • Research and complete any missing information needed to develop a comprehensive case to include telephonically contacting facilities, providers, and/or members and utilizing CRMs and Internet search engines
    • Obtain and monitor admission and discharge dispositions through medical record and utilization reviews, face sheets, pre-notifications, etc. to identify needed referrals to departmental teams
    • Triage and distribute casework based on clinical knowledge and/or criteria
  • Document casework in appropriate software systems per organizational policy
  • Collaborate departmentally to deliver accurate, timely, complete, and consistent administrative support and case work
  • Meet service level agreements for assigned workload (Salesforce and CSI queues, Microsoft Outlook)
  • Adhere to all company policies and Standard Operating Procedures
  • Safeguard patient privacy and confidentiality by following the guidelines set forth in the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA)
  • Pray with members and providers as appropriate
  • Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
  • Perform all other duties as assigned

Essential Skills & Abilities

  • Applies knowledge and skills to complete a wide range of tasks in the clinical administrative scope
  • Effective organizational skills, including working in multiple computer systems simultaneously
  • Advanced knowledge and understanding of Medi-Share program guidelines and processes (for internal candidates)
  • Advanced understanding of Medical Terminology
  • Advanced skill with Microsoft Office (Word, Excel, PowerPoint, Outlook, Teams)
  • Excellent computer skills – ability to access, research and use multiple software programs simultaneously and keyboard skills of at least 35 words per minute
  • Excellent ability to communicate effectively in written, oral, telephonic and digital formats
  • Work independently and with a team regularly; performs assigned special projects with minimal assistance
  • Excellent ability to collaborate effectively and professionally with interdisciplinary team members, members/patients, families, providers, facilities and other employees and departments
  • Strong ability to provide all content within a biblical framework
  • Ability to comply with HIPAA, PHI, and all call compliance rules and regulations
  • Results oriented, excellent organizational and planning skills. Ability to work cross-functionally and without supervision

Core Competencies/Demonstrable Behaviors

  • Collaborates – Builds partnerships and works collaboratively with teammates to meet shared objectives of the team
  • Communicates effectively – Develops and delivers multi-modal communications with both internal and external employees and members
  • Consistently achieves  team goals and objectives, even under tough circumstances
  • Instills trust - Gains the confidence and trust of team members through honesty, integrity, and authenticity
  • Optimizes work processes – Knows the most effective and efficient processes to get things done, with a focus on continuous improvement.

Education and/or Experience

  • Associates degree in a healthcare-related field preferred or a combination of education (minimum high school diploma / GED) and experience required
  • Medical terminology knowledge and comprehension required
  • 1-3 years of health plan, medical billing, or medical office/facility experience and/or advanced knowledge of the Medi-Share program and processes preferred

Supervisory Responsibilities

  • This job has no supervisory responsibilities

Incentives & Benefits

We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.

For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:

•    100% paid Medical for employees/99% for family
•    Generous employer Health Savings Account (HSA) contributions
•    Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
•    6 weeks of paid parental leave (for both mom and dad)
•    Dental - two plans to choose from
•    Vision
•    Short-term Disability
•    Accident, Critical Illness, Hospital Indemnity
•    401(k) – up to 4% match on ROTH or Traditional contributions
•    Generous paid-time off and 11 paid holidays
•    Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo 
•    Employee Assistance Program including no cost, in-person mental health visits and employee discounts
•    Monetary Anniversary Awards Program
•    Monetary Birthday Awards

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