Date Posted: 09/24/2024
Hiring Organization: Rose International
Position Number: 471308
Job Title: Case Manager
Job Location: Pleasanton, CA, USA, 94588
Work Model: Onsite
Employment Type: Temporary
Estimated Duration (In months): 13
Min Hourly Rate($): 30.00
Max Hourly Rate($): 34.00
Must Have Skills/Attributes: Customer Service, Healthcare, Multitask
Job Description
***Only qualified Case Manager candidates located near the Pleasanton, CA area to be considered due to the position requiring an onsite presence***
Qualifications:
• 3 years of customer service background required. This is not a call center or data entry
• Ability to use sound judgment and to handle sensitive correspondence independently but with the knowledge and ability to escalate to the appropriate person / ask for help when needed
• Ability to multitask and manage time in order to perform well on high volume case load while being flexible enough to assimilate on small projects on an ongoing basis
• Demonstrated ability to work in a time-sensitive, high production environment
• Excellent grammar and writing experience is required
• Excellent interpersonal, verbal and written communication skills
• Ability to work with peers in self-managed teams to meet deadlines
Preferred Qualifications:
• Knowledge of member grievance and appeals process preferred
• Knowledge of federal and state laws and regulations and accreditation standards related to health care and managed care organizations
• Healthcare background preferred
Responsibilities:
• Will need to write summaries, conduct investigations, and write 20-30 letters a week to members.
• Must be able to both communicate and handle difficult members while showing empathy and matching the right tone.
• Will also need to discuss concerns and requests with physicians and hospital staff regarding patient concerns.
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).