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in Lansing, MI
Case Manager
Hours | Full-time, Part-time |
---|---|
Location | Lansing, MI Lansing, Michigan |
About this job
Working with health plan members and the Social Security Administration (SSA) to determine and secure disability determination for the member and increased payment capitation for the plan; develop and maintain positive, productive relationships with health plan members, SSA staff, and medical providers.
*Performs post initial application denial rescreening for appropriateness to take to appeal/recon
*Secures authorizations to represent plan member before both SSA and State / County medical assistance offices.
*Assists plan member in acquiring verifications; helps secure forms, fill out forms; gets forms to proper agency; follows up with plan
member and agencies to ensure processing
*Completes required state and federal forms as documentation of plan members medical condition
*Determines / secures details regarding appropriate historical medical providers for documentation of complete medical history
*Maintains regular contact with plan
member throughout all processes
*Informs plan member of community resources/makes referrals to agencies
Issues correspondence to plan members
QUALIFICATIONS (MUST HAVES IN ORDER TO BE CONSIDERED)
6 months+years experience in medicaid or medicare case management.
About Aerotek:
Aerotek, headquartered in Hanover, Md., is a leading provider of technical, professional and industrial staffing services. Established in 1983, Aerotek is an operating company of Allegis Group, the largest provider of staffing services in the U.S. Aerotek operates a network of more than 200 non-franchised offices throughout the U.S., Canada and Europe. For more information, visit .
Aerotek is acting as an Employment Agency in relation to this vacancy.