Case Manager

NATIONMIND LLC; Corona (CA); Remote; USD 50,000 - 70,000; Full time

Job summary

NationMind LLC is seeking a dedicated Case Manager to support healthcare initiatives in Corona, California. The role involves responding to member grievances and ensuring an excellent member experience, requiring strong communication and organizational skills.

Qualifications

• 6 years of customer service experience required.
• Healthcare experience preferred.
• Proficient in Microsoft Excel and Word.

Responsibilities

• Research and respond to member grievances and appeals within 24-72 hours.
• Meet regulatory requirements.
• Enhance Member Experience.

Skills

Organizational Skills

Verbal Communication

Written Communication

Time Management

Education

HS Diploma or GED

Bachelor's Degree

Tools

Microsoft Excel

Microsoft Word

Job description

NationMind is hiring a dedicated and detail-oriented Case Manager to support our healthcare initiatives in Corona, California.

Job Title: Case Manager

Location: Corona, CA (SCAL address: CA-Corona-1840 California Ave.-Corona Member Service Call Centre (CA989-1)); first two weeks onsite

Education: HS Diploma or GED required

Preferred Level of Education: Bachelor's degree is preferred

Experience: 6 years of customer service experience, heavy writing and speaking with customers over the phone. Proficiency in Microsoft Excel and Word is essential. Healthcare environment experience is a plus.

Preferred Experience: BlueShield, Aetna, Healthcare providers (this is a significant advantage)

Systems Knowledge Required: Extensive working knowledge of personal computers, including Windows-based software applications, MS Word, etc.

Top Responsibilities:

1. Research and respond to member grievances and appeals posing a risk to the organization within short timeframes (24-72 hours)
2. Meet regulatory requirements
3. Enhance Member Experience

Key Skillsets:

1. Strong organizational skills
2. Excellent verbal and written communication skills
3. Effective time management, including completing the Brittney Spears Assessment

Work is remote temporarily due to COVID-19.