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Customer Service Case Management

Location:
Phoenix, AZ
Posted:
October 02, 2023

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Resume:

Jordan Martin

Care Management Associate Phoenix, AZ

adz3rh@r.postjobfree.com

480-***-****

Authorized to work in the US for any employer

Work Experience

Provider Services Associate

Magellan Health Services – Phoenix, AZ

2018 to Present

• Problem resolution and triage not requiring clinical judgments

• Input and verify member eligibility, provider status and authorization inquiries.

• Transfer calls to clinicians and physicians for clinically escalated calls. Care Management Associate

Mercy Care Plan/Aetna – Phoenix, AZ

January 2007 to July 2018

• Complete telephonic health assessments

• Documented medical information on health care needs of member and forward to Triage RN for Case management

• Assist members with community resources

• Intake attempt for possible high risks pregnancies (Medical, Behavioral or Social)

• Maintain close communication with physicians to ensure member had adequate transportation and assist with appointments.

Case Management Technician

Banner Health Systems – Phoenix, AZ

October 2001 to May 2006

• Undress, clean, measure and assess wounds in the Wound Care Clinic

• Keep all dressings, sutures and pharmaceuticals on hand per Physician preferences.

• Ensure wound care supplies are ordered and ready for each pt. at the pt.s choice of pharmacy.

Education

High school or equivalent in Medical Assistant

Arizona Institute of Business and Technology – Phoenix, AZ 2000 to 2001

Skills

• Great Customer service skills (10+ years)

• Phlebotomy (7 years)

• RECEPTIONIST (10+ years)

• Customer Service

• Microsoft Office

• Medical Office Experience

• Intake Experience

• Medical Terminology

• Case Management

• Clerical Experience

Additional Information

Skills

• Computer literate

• Great Customer service skills

• Reliable

• Efficient and skilled in Phlebotomy

• Able to multi-task in fast settings

• Experienced in pre-authorizations



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