Care Associate (Remote) 2025-1401

Company: Managed Care Advisors
Location: Dallas
Posted on: March 1, 2025

Job Description:

Position Title: Care Associate (Remote) 2025-1401 Location: Dallas, TX, USA Job Category: Medical Services Job Type: Full Time Description: OverviewCare Associate - (Remote)Salary Range: ($23.08 hourly - $24.03 hourly) depending on experience and qualifications. Are you energized by working in a fast-paced environment on the front lines helping injured workers? Do you want to work in an organization that values intelligence, integrity, and initiative? Would you like to be a part of a collaborative and dynamic team in an effort to provide exceptional customer experience? Do you have a commitment to helping individuals with severe and persistent workers' compensation illnesses?As a Care Associate, you will operate from your home office while remaining an integral member of a nationwide supportive team dedicated to providing administrative support to the Clinical Teams of Nurses and Vocational Rehabilitation Counselors assigned to high-profile Federal contracts. As a Care Associate you will provide increased efficiency for the operation by providing general support to the medical staff in a team environment The CMU assists clinical staff throughout the entire case management process. You will ensure high standards of service delivery and compliance while playing a crucial role in enhancing patient care. Care Associate of Central Management Unit Duties and Responsibilities Act as a liaison of information between the clinical team of SGS, SGS Case Management systems, and the client's electronic records.Ensure by confirmation that required documents have been received; distribute, fax, mail, and copy incoming and outgoing correspondence.Monitor and take timely action on assigned worklistsAccess and assign cases for clinical professionals based on claim specifics, geographic needs, and caseloadsEnter new claims data into the claims management system accurately; maintain data integrity.Perform quality assurance reviews according to protocolReview, organize, attach, and label incoming medical documents, to appropriate case management systems.Timely data entry for new and existing referrals.Collaborate with members of the health care team to provide ongoing case management services.Accurate timely documentation according to protocols in assigned case management systems.Understand the organization's quality management program and the case management associate's role within that programIs an effective team member; supports the team by pitching in at any level and effectively working across the organization to meet the needs of the businessTake ownership of personal actions and outcomes; encourage and empower others to do the sameEmbrace change; maintain an open mind. exhibits flexibility and adaptability in the face of ambiguity and changeAbility to work independently, multitask, and adjust priorities Care Associate of Central Management Unit QualificationsGED or High School diploma requiredAssociate degree (or higher) in clinical or medical health administration or related field preferred3+ years of industry experience, healthcare network, patient care scheduling, medical assistant, workers' compensation, or similar equivalent combination of education and experienceMedical terminology expertise preferredWorker's compensation, disability, and/or liability claims processing experience preferred.Customer Service experience in the medical field preferredAbility to utilize an Electronic Medical Record or other electronic platformDemonstrated ability to use Microsoft applications and demonstrate basic electronic technology understandingComputer literacy, including MS Word, Excel, and OutlookAbility to pass a background checkProficiency in Microsoft Office, tech-savvyAppreciate and comply with all confidentiality requirementsResponsible for having reliable High-Speed Cable or Fiber Optic Internet service and Internet Router in established home officeMust have Excellent Communication Skills via Phone, E-Mail, Text, Verbal, and Documentation Skills and provide 24-hour follow-up to all communication For a career path that is both challenging and rewarding, join Sedgwick Government Solution's talented team. Taking care of people is at the heart of everything we do. Our clients depend on our talented colleagues to take care of their most valuable assets-their employees, and their customers. At Sedgwick Government Solutions, caring counts--. Join our team of creative and caring people of all backgrounds and help us make a difference in the lives of others.Sedgwick Government Solutions provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of a specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($23.08 hourly - $24.03 hourly). A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.To be considered for this position, please submit a resume, and complete the application.The information provided above has been designed to indicate the general nature and level of work of the position. It is not a comprehensive inventory of all duties, responsibilities, and qualifications required.Important InformationSuccessful candidates will be required to undergo a financial and criminal background check and obtain and maintain confidential-level security clearance upon hire. We participate in the United States Federal Government E-Verify program to confirm the employment authorization of the employee upon hire. Search Firm Representatives Please be advised that Sedgwick Government Solutions (Government Solutions) is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, a valid written agreement and task order must be in place before any resumes are submitted to Government Solutions. All resumes submitted by search firms to any employee at Government Solutions without a valid written agreement and task order in place will be deemed the sole property of Government Solutions and no fee will be paid in the event that person is hired by Government Solutions.Government Solutions strives to make our career site accessible to all users. If you need a disability-related accommodation to complete the application process, please contact Government Solutions regarding accommodations. Sedgwick Government Solutions is an Equal Opportunity and Affirmative Action EmployerAll qualified applicants will receive consideration for employment without regard to age, citizenship status, color, disability, marital status, national origin, race, religion, sex, sexual orientation, gender identity, veteran status, or any other classification protected by federal state or local laws as appropriate, or upon the protected status of the person's relatives, friends or associates.Sedgwick Government Solutions abides by the requirements of 41 CFR 60-741.5(a). This regulation prohibits discrimination against qualified individuals on the basis of disability and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with disabilities.Sedgwick Government Solutions abides by the requirements of 41 CFR 60-300.5(a). This regulation prohibits discrimination against qualified protected veterans and requires affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified protected veterans.About SedgwickSedgwick Government Solutions is a fully owned subsidiary of Sedgwick. Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Taking care of people is at the heart of everything we do. Millions of people and organizations count on Sedgwick each year to take care of their needs when they face a major life event or something unexpected happens. The company provides a broad range of resources tailored to clients' specific needs in casualty, property, marine, benefits, and other lines. At Sedgwick, caring counts; through the dedication and expertise of more than 27,000 colleagues across 65 countries, the company takes care of people and organizations by mitigating and reducing risks and losses, promoting health and productivity, protecting brand reputations, and containing costs that can impact the bottom line. www.sedgwick.com Privacy - Sedgwick Terms and Conditions - Sedgwick PI5bd98a239f3b-25660-36892857

Keywords: Managed Care Advisors, Dallas , Care Associate (Remote) 2025-1401, Other , Dallas, Texas