Case Management Processor
Key Details
- Location: Remote (Must reside in Washington State)
- Duration: 6 months
- Schedule: Monday–Friday, 8:00 AM–5:00 PM Pacific Time
- Hours: 40 hours per week
- Work Arrangement: Fully remote
- Compensation: $26.10/hr–$29.00/hr
- Employment Type: W2 (not open to C2C, 1099, or visa sponsorship)
Role Overview
Our client is seeking a Case Management Processor to provide administrative and coordination support for healthcare case management services. This role supports clinical teams by reviewing member information, identifying care management needs, coordinating services, maintaining accurate documentation, and assisting with communication between members, providers, and internal teams. The ideal candidate will have healthcare customer service experience, strong attention to detail, and the ability to manage confidential information in a fast-paced environment.
Responsibilities
- Contact health plan members to determine care management needs and provide support throughout the process
- Provide administrative support to case management staff and assist with daily department operations
- Review and triage case management tasks based on established policies and procedures
- Analyze member information to identify needs and support care plan implementation under the direction of case management staff
- Screen members to assist clinical teams in identifying appropriate medical services
- Coordinate required services based on member benefit plans
- Maintain communication with healthcare providers, internal teams, and members to support effective case management services
- Run reports and assist with coordination of case management activities
- Answer phone calls, take messages, research information, and provide support to case management team members
- Maintain accurate and complete documentation while following regulatory, accreditation, and risk management requirements
- Protect confidential member information and comply with HIPAA requirements
- Perform accurate data entry and maintain documentation within healthcare systems
Qualifications
- High school diploma or GED required
- 2+ years of experience as a medical assistant, office assistant, or healthcare administrative support professional
- Healthcare customer service experience
- Experience with clinical documentation systems
- Proficiency with Microsoft Office applications
- Knowledge of medical terminology and abbreviations
- Ability to work independently and collaboratively within a team environment
- Strong customer service, communication, and problem-solving skills
- Ability to manage confidential information with discretion
- Strong attention to detail and accuracy with data entry
- Ability to work effectively in a fast-paced environment
- Minimum typing/data entry proficiency of 40 words per minute
Preferred Qualifications
- Bilingual communication skills
- Experience supporting healthcare case management teams
- Familiarity with healthcare member services or care coordination processes