Managed Care Specialist

4 weeks ago


Nashville, Tennessee, United States Integrated Resources Full time
Job Title: Managed Care Specialist

Job Summary:
Integrated Resources is seeking a highly skilled Managed Care Specialist to join our team. As a key member of our team, you will be responsible for determining individual and family eligibility for our client's care programs. Your excellent communication and organizational skills will enable you to effectively coordinate and communicate schedules to internal and external clients.

Key Responsibilities:
  • Determine individual and family eligibility for our client's care programs.
  • Assist in coordinating and communicating schedules to internal and external clients.
  • Conduct client interviews, collect facts and information, and compile case data to provide recommendations to an attorney.
  • Timely management of casework, including proper documentation and case resolution.
  • Provide legal research, analysis of legal papers, and draft legal documents. Document findings accurately.
  • Work efficiently and effectively in multiple databases to extract information.
  • Attend workgroup meetings and participate in discussions.
  • Assist the leadership team as necessary.

Requirements and Skills:
  • Must have a bachelor's or associate degree.
  • A background in Paralegal studies is a plus.
  • Work experience in a Legal environment is a plus.
  • Customer service or call center experience is a plus.
  • Proven technical skills (e.g., Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, etc.).
  • Excellent time management skills with the ability to prioritize work to meet specific deadlines with minimal supervision.
  • Excellent verbal and written communications skills.
  • Keen attention to detail and adherence to deadlines.
  • Strong time management, note-taking, email organization, and distribution skills.
  • Critical thinking and problem-solving skills.

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