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UTILIZATION REVIEW CASE MANAGEMENT OFFICE SPECIALIST
DAYTONA BEACH FL 32117
Category: Health Care Industry
  • Your pay will be discussed at your interview

Job code: lhw-e0-89670296

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Florida Health Care Plans

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Summary

  Job posted:   Wed May 16, 2018
  Distance to work:   ? miles
       
  1 Views, 0 Applications  
 
UTILIZATION REVIEW CASE MANAGEMENT OFFICE SPECIALIST
UTILIZATION REVIEW CASE MANAGEMENT OFFICE SPECIALIST



Department:Case Management


Schedule:Full-time


Shift:1st shift


Hours:M-F 8am-5pm; Requires rotating weekend coverage


Job Details:


+ High School Diploma or equivalent


+ JOB SUMMARY: The Office Specialist presents a caring, professional image and appearance at all times. Provides a variety of support activities for Case Management Inpatient, Skilled Nursing and Home Health Care Utilization Review nurses. Demonstrates proficiency in organizing clinical information, communication with facilities and providers, accurate filing. Serves as a liaison between the nurses and various FHCP departments i.e.: Member Services, Central Referrals, Care Navigation, Program Management, Provider Services and Administration. Will also work with contracted facilities and staff. Will be responsible for assisting in the coordination, tracking, and reporting for Case Management. Demonstrates proficiency with all computer functions required for this position. This individual will enter authorizations and encounters into the FHCP's system(s) to facilitate data collection and reporting. This position requires proficiency in the use of the MC400 system, Allscript's E.H.R., Microsoft Office suite including Excel and some Access software. Must be flexible in meeting demands of all department operations. All employees are to familiarize themselves with and follow Florida Health Care Plans Policies and Procedures. QUALIFICATIONS: Education, skills, and experience:1. High School graduate or equivalent.2. Knowledge of medical terminology required. 3. Knowledge of ICD - 10, CPT coding, preferred.4. General office procedures and equipment (pc, multi line phone, fax, copier) required.5. Typing skills of 30wpm, ability to work accurately with forms required.6. Knowledge of Microsoft office suite (experience with MS Word and excel required) ,7. Experience with MS Access and PowerPoint preferred.8. Demonstrate Customer Service skills.9. Accuracy in written and oral communications, strong grammar and spelling required.10. Professional Appearance


+ EOE/M/F/Vet/Disabled





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