Insurance Case Coordinator Jobs

Two years directly related community experience preferred

Experience with Hospital Based Case Coordination an asset

Effective oral and written communication skills

Graduate of an approved Bachelor of Nursing education program required (with current CRNM registration)

Canadian Community Health Nurses Certification CCHN© or relevant applicable certification an asset

Roles and responsibilities of members of the healthcare team

Knowledge and experience with computers required.

Plans and organizes work schedule and manages caseload demands effectively.

Participates in educational development when required of new staff, students and related to the program.

Two years directly related community experience preferred.

Previous experience as a Case Coordinator in Community Health Services preferred.

Experience with EFT implementation considered as asset.

Case Manager Administrative Tasks (10%) - Complete specified administrative tasks on all cases (eg. Faxing, forms preparation, employee follow-ups)

Service Delivery (Integrated into above accountabilities) - Ensuring that all service delivery targets for the AMS products are met.

Good understanding of and experience with medical terminology and conditions

Strong decision making and analytical skills with a strong attention to detail - particularly with numbers, spelling and grammar

Excellent communication skills; ability to direct conversations and target specific issues or lines of questioning

Intermediate - PC skills including MS Word, Excel and Outlook

Organize and maintain all departmental documentation in accordance with document management protocol;

Organize and maintain in real-time the insurance and risk management data in the Risk Management Information System (RMIS);

Assist in the day-to-day management of insurance and risk-related matters.

Manage all third-party insurance certificate requests, providing stakeholders with accurate certificates in a timely manner;

Ensure all insurance policy documentation (binders, policies, endorsements) and invoicing is requested, monitored, and processed in a timely manner;

Ensure the quarterly premium adjustments for acquisitions, refinancings and dispositions are accurate;

Graduate of an accredited post-secondary education program (B.N. or Social Sciences B.S.W., OT, PT)

Minimum of two (2) years current related experience

Active license and registration to practice as required by professional association

Relevant professional practice, specifically in gerontology

Given the cultural diversity of our region, the ability to respect and promote a culturally diverse population is required

Proficiency of both official languages is essential for target and designated bilingual positions

Knowledge and experience with computers required.

Plans and organizes work schedule and manages caseload demands effectively.

Participates in educational development when required of new staff, students and related to the program.

Two years directly related community experience preferred.

Previous experience as a Case Coordinator in Community Health Services preferred.

Experience with EFT implementation considered as asset.

Assist management in drafting and reviewing notifications or education materials as requested

4+ years of experience in network management, dental office management, managed healthcare, sales, and/or customer service

Must be detail oriented; strong customer service skills, strong organizational and time management skills

Work with management to prepare and conduct training for Network Managers on topics relevant to their functions

Work closely with management of Provider Operations to support the team’s day to day operations

Assist management with creating agendas for team meetings and provide minutes including open tasks requiring follow-up

Case Manager Administrative Tasks (10%) - Complete specified administrative tasks on all cases (eg. Faxing, forms preparation, employee follow-ups)

Service Delivery (Integrated into above accountabilities) - Ensuring that all service delivery targets for the AMS products are met.

Good understanding of and experience with medical terminology and conditions

Strong decision making and analytical skills with a strong attention to detail - particularly with numbers, spelling and grammar

Excellent communication skills; ability to direct conversations and target specific issues or lines of questioning

Intermediate - PC skills including MS Word, Excel and Outlook