case management assistant

Universal Healthcare MSO

<div>Description:
<p><b>
Employment Details:</b></p><p><b>
Location: </b>Bakersfield, CA. (Onsite)</p><p><b>
Classification: </b>Full-Time</p><p><i>
This position is non-exempt and will be paid on an hourly basis.</i></p><p><b>
Schedule: </b>Monday-Friday 8am-5pm</p><p><b>
Benefits:</b></p><ul><li>Medical</li><li>Dental</li><li>Vision</li><li>Paid Time Off (PTO)</li><li>Floating Holiday</li><li>Simple IRA Plan with a 3% Employer Contribution</li><li>Employer Paid Life Insurance</li><li>Employee Assistance Program</li></ul><p><b>
Compensation:</b> The initial pay range for this position upon commencement of employment is projected to fall between $19.34 and $24.17. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.</p><p><b>
Position Summary:</b></p><p>
The Case Management Assistant (CMA) provides administrative and care coordination support to the Population Health Management (PHM) team, including Nurse Case Managers and Social Services staff. The CMA assists by conducting outreach, gathering and organizing information, coordinating appointments and referrals, documenting activities, and helping to address routine member needs. This role is member-focused, ensuring individuals receive timely communication, follow-up, and access to services and resources. The CMA supports member engagement activities such as wellness calls, enrollment outreach, and care gap closure, helping to improve the overall member experience and promote better health outcomes. The CMA requires strong interpersonal and organizational skills to communicate effectively with members, assist with referrals, and help coordinate services among providers, community resources, and internal care teams. The CMA also supports the Interdisciplinary Care Team (ICT) activities by gathering information, preparing documentation, and relaying member needs to the case management team.</p>
Requirements:
<p><b>
Job Duties and Responsibilities:</b></p><ul><li>Work collaboratively with Nurse Case Managers and Social Services staff on care coordination, member follow-up, communication with agencies.</li><li>Support PHM outreach activities by conducting calls for program enrollment, Health Risk Assessment (HRA) completion and other relevant questionnaires, wellness checks, and quality initiatives to help close care gaps.</li><li>Contact members at regular intervals per their acuity level and care plan needs.</li><li>Document all outreach, coordination activities, and member interactions in the case management system (CM System) accurately and in a timely manner, in alignment with program protocols.</li><li>Support members experiencing transitions of care by assisting case managers with coordination of post-discharge needs, follow-up appointments, and transportation.</li><li>Gather clinical information and assist with coordinating services such as home health care, prescriptions, durable medical equipment (DME), and social service referrals.</li><li>Prepare and send member correspondence, as directed by case managers or in alignment with case management protocols.</li><li>Report and escalate member concerns, variances, or changes in condition to the appropriate care team members to ensure timely intervention and coordinated follow-up.</li><li>Assist members with appointment scheduling, transportation, referral coordination, and other care coordination needs.</li><li>Gather clinical information from outside sources such as PCPs, specialists, hospitals, SNFs, and electronic health records, and upload them into the case management system.</li><li>Verify member eligibility, demographics, and benefits; confirm provider assignments to ensure authorizations are linked appropriately.</li><li>Support closed-loop referrals to community supports, housing, and social service agencies, with follow-up to confirm services were delivered.</li><li>Participate in ICT meetings by gathering and presenting information and communicating member needs and preferences to the care team.</li><li>May be assigned to manage a caseload of low-acuity PHM members, under the supervision of Nurse Case Managers or Social Services staff.</li><li>Serve as an associate and resource to members, providers, staff, and external customers regarding policies, benefits, and care coordination.</li><li>Provide administrative support, including answering phones, assisting with correspondence, filing, scanning, and maintaining department data systems.</li><li>Receive and route incoming faxes, medical records, and other documentation to the appropriate case management staff.</li><li>Track and log outreach attempts and results in the case management system to support reporting and follow-up.</li><li>Conduct outreach to members to verify needs are being met and services delivered.</li><li>May be assigned to conduct in-person meetings with members during clinic visits.</li><li>Assist with training and orientation of new staff, as requested.</li><li>Assist case management team with oral interpretation, as applicable.</li><li>Attend mandatory staff and departmental meetings.</li><li>Perform other duties as assigned.</li></ul><p><b>
Qualifications:</b></p><ul><li>High School diploma or GED required.</li><li>Minimum of 3 years of experience in a healthcare or community health setting.</li><li>Knowledge of case management processes and regulatory requirements for Medi-Cal, Medicare, and commercial programs preferred.</li><li>Experience in a managed care environment preferred (IPA, HMO, or health plan).</li><li>Medical Assistant or Community Health Worker certification preferred.</li></ul><p><b>
Knowledge and Skills:</b></p><ul><li>Ability to respect the needs of members, support givers, team members, and others, and provide excellent customer service.</li><li>Willingness to collaborate as part of a team with professionals at all levels to achieve shared goals and remove barriers to member health.</li><li>Sensitivity to members' social, cultural, language, physical, and financial differences.</li><li>Ability to work with members and influence behavior through negotiation of care goals and support of member self-management.</li><li>Strong problem-solving skills and ability to identify issues and propose solutions.</li><li>Ability to prioritize tasks based on changes in member situations and needs.</li><li>Ability to work independently, organize and prioritize multiple tasks throughout the day.</li><li>Strong attention to detail and ability to be accurate, thorough, and persistent in problem solving and task completion.</li><li>Excellent verbal and written communication skills, with the ability to communicate effectively with all levels of the organization and members.</li><li>Proficiency in creating professional documents with proper grammar and punctuation.</li><li>Ability to maintain professionalism and adapt to a changing environment.</li><li>Ability to understand and communicate complex health and benefit information.</li><li>Proficient in the use of common office technology, including electronic Case Management systems.</li><li>Reliable in attendance and adherence to work schedule and business dress code.</li><li>Ability to always maintain strict confidentiality.</li></ul></div>

Case Management Assistant (PHM)- Bakersfield 1.2

Harris Federal Law Firm

<p><b>About Harris Federal Law Firm:</b></p><p>Harris Federal Law Firm is an administrative law firm located in Lexington, KY that assists employees of the federal government in securing and maximizing their employment benefits. Our mission is to provide our clients with exceptional service as we guide them through the application process to get the benefits they deserve. We have successfully represented over 10,000 clients and are continuing to change lives through our services.</p><p><b>About the Culture:</b></p><p>We pride ourselves on our company culture and environment. We evaluate talent and performance based on a person&rsquo;s ability to fit our core values. We believe our commitment to our core values is the reason we have been successful in changing the lives of our clients and creating a healthy workplace for our employees. Please review them and only apply if you feel that they are also important to you and govern how you conduct yourself.</p><p><b>Company Core Values:</b></p><p><i><b>Be a Pro</b></i> - constantly look to improve at all aspects of your work</p><p><i><b>Serve Others</b></i> - have a heart of service towards clients and co-workers</p><p><i><b>Act with Integrity</b></i> - in humility, walk out a transparent work life</p><p><b>About the Role:</b></p><p>The Case Manager Assistant is the operational backbone of our federal disability retirement process. This role focuses on the critical &quot;back-end&quot; logistics and hands-on administrative tasks &ndash; such as filling out and mailing applications - required to keep cases moving toward approval. Rather than managing client relationships, you will manage the flow of information and documentation between the firm and federal agencies. You are a detail-oriented professional who thrives on organization, meeting strict deadlines, and navigating the administrative complexities of government bureaucracy.</p><p><b>These are the responsibilities of a Case Manager Assistant:</b></p><ul><li>Execute back-end administrative tasks and prepare necessary filings for multiple Case Managers simultaneously</li><li>Directly handle the completion and physical mailing of applications, ensuring all forms are accurate and submitted via the correct channels</li><li>Assist in communication with federal agencies by proactively tracking, submitting, and verifying the status of pending paperwork</li><li>Maintain standardized digital files for all assigned cases, ensuring data accuracy and compliance with federal deadlines</li><li>Independently balance the administrative needs of different Case Managers to ensure no portfolio falls behind</li><li>Provide regular updates to the Case Manager team regarding agency bottlenecks or missing documentation</li></ul><p><b>Here are some of the opportunities this position offers:</b></p><ul><li>Collaborate with a team of engaged professionals</li><li>Vertical and horizontal growth opportunities</li><li>Extensive classroom and hands on training</li><li>Schedule flexibility</li><li>Sweet office perks (like an espresso bar!)</li></ul><p><b>These are some of the skills that we see help people succeed in this position:</b></p><ul><li>Self Starter</li><li>Elite communicator</li><li>High Level of Emotional Intelligence</li><li>Friendly and conscientious</li><li>Highly organized</li><li>Ability to maintain confidentiality and handle sensitive information.</li><li>Familiarity with CRM platforms</li><li>Proficient in standard office and computer software systems (i.e., MS Office Suite, Google Chrome, etc.)</li></ul><p>Job Type: Full-time</p><p>Pay: $38,000.00 - $48,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Opportunities for advancement</li><li>Paid sick time</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Application Question(s):</p><ul><li>Did you upload a custom resume file rather than using the Indeed Resume template? Yes/No</li></ul><p>Experience:</p><ul><li>Office: 2 years (Required)</li></ul><p>Work Location: In person</p>

Legal Case Manager Assistant

penndel mental health center

<div>Description:
<p><b><i>
Join a Team Where Purpose Meets Impact!</i></b></p><p><b>
Who we are</b>&hellip;Penndel Mental Health Center is a private, non-profit community mental health center, which has been providing psychiatric and social services to residents of Lower Bucks County for over 50 years.</p><p>
At our organization, every role in our organization contributes directly to our mission to strengthen individual, family and community well-being through accessible high-quality community-based behavioral health services.</p><p><b>
What we value</b>&hellip; Each member of our team supports our commitment to operational excellence, collaboration, responsiveness, adaptability, access to services, building healthy environment, providing comprehensive and integrated services, honesty and trustworthiness, and working as one Penndel!</p><p><b>
How to join our team</b>&hellip; Apply today! At Penndel, you&rsquo;ll enjoy excellent training, supervisory support, and industry-leading total rewards package. Become a part of our great team&hellip;Where Purpose Meets Impact!</p><p><b>
Location:</b>2080 Cabot Blvd. West, Langhorne, PA 19047</p><p><b>
FT/PT</b>: Full-time</p><p><b>
General description/ Qualifications:</b></p><p>
The Case Management Referral Specialist is a position that assists children, adolescents and adults and their families as the access point to Administrative and Blended Case Management Services at Penndel Mental Health Center. The Referral Specialist operates as Penndel Mental Health Center&rsquo;s Case Management liaison to hospitals, community members and other network providers who wish to inquire as well as refer individuals to Mental Health Case Management. The Referral Specialist receives, tracks, processes and intakes referrals to case management based on client&rsquo;s needs and eligibility.</p><p>
Requires a minimum of a Bachelor&rsquo;s degree in human service field. Blended Case Management experience strongly preferred.</p><p><b>
Duties/Responsibilities:</b></p><ul><li>
Receives, processes, and tracks incoming ACM and BCM Case Management referrals.</li><li>
Coordinates with referral sources to schedule interviews and assess referred clients</li><li>
Assess referrals for eligibility for Blended Case Management services</li><li>
Determines the appropriate case management department for new intakes (ACM or BCM)</li><li>
Assists potential referrals by providing coordination to community resources if case management services are mutually determined to not be necessary</li><li>
Conducts the initial intake and assessment of case management clients including the completion of the initial matrix to identify case management level of care (Resource Coordination or Intensive Case Management)</li><li>
Collaborates with the Associate Executive Director regarding potential appropriateness of referrals for higher levels of community care (such as Assertive Community Treatment) or more appropriate case management services depending on cognitive functioning (such as Intellectual Disability Supports Coordination)</li><li>
Fulfills other record keeping and reporting requirements</li><li>
Attends agency staff development and training meetings on a weekly basis, monthly BCM trainings, and OMH training sessions and seminars specifically designed for BCM</li><li>
Participates in regularly scheduled supervisions which include: individual once per week, and group supervision</li><li>
Performs related duties as required/assigned</li><li>
Must adhere to Corporate Compliance policy</li><li>
Position normally requires the physical demands of performing work requiring low physical exertion, lifting up to 10 pounds and mobility that would enable employee to attend meetings in a variety of settings.</li></ul>
Requirements:
<p><b>
Physical Requirements:</b></p><p>
Equipment use including but not limited to computer (including repetitive motions of typing, seeing monitor), copier, fax, printer, shredder, telephone, cell phone, and voice mail and light lifting up to 10 pounds, ability to drive agency vehicles.</p></div>

Case Management Referral Specialist

Acentra Health

<div>Company Overview:
<div>
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.</div><div></div><div><br>
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes &ndash; making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.</div>
Job Summary and Responsibilities:
<p><b>
Acentra Health is looking for a Case Manager, Associate to join our growing team.</b></p><p><b><br>
Job Summary:</b></p><p></p><p><br>
The Home and Community‑Based Services (HCBS) 1915(i) program provides long‑term, community‑based supports<br>
for individuals with significant behavioral health, cognitive, or functional needs so they can remain safely in their homes<br>
and communities. HCBS includes person‑centered planning, skills training, personal care, supported housing and<br>
employment, and coordination across medical, behavioral health, and social service systems. Case Managers ensure<br>
members receive the right services at the right time, reduce barriers to care, and support stability in the least restrictive<br>
setting.</p><p><br>
Location Requirements</p><p><br>
We need one hire in each region:</p><p><br>
Central Oregon<br>
Southern Oregon<br>
Eastern Oregon</p><p><br>
HCBS Case Managers are responsible for delivering trauma‑informed, person‑centered care coordination that meets<br>
OHA and CMS requirements. Core responsibilities include:</p><p></p><p><b><br>
Responsibilities:</b></p><br>
<p></p><ul><li>
Conducting timely outreach, engagement, and follow‑up with referred members</li><li>
Completing eligibility coordination tasks, documentation collection, and packet submission</li><li>
Developing, updating, and monitoring Person‑Centered Service Plans (PCSPs)</li><li>
Coordinating across medical, behavioral health, and social service systems to reduce barriers to care</li><li>
Providing warm handoffs to CCOs, BH providers, and community resources as needed</li><li>
Monitoring service utilization, identifying gaps, and escalating concerns appropriately</li><li>
Documenting all activities in Atrezzo in accordance with HCBS documentation standards</li><li>
Conducting safety assessments and following crisis escalation protocols when needed</li><li>
Maintaining strong partnerships with CMHPs, CDDPs, CCOs, housing providers, and community agencies</li><li>
Ensuring compliance with OHA policies, CMS HCBS regulations, and internal program protocols</li><li>
Supporting members in navigating complex systems, advocating for needs, and promoting stability in the least<br>
restrictive setting</li><li>
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and<br>
Security Rules.</li></ul><p><i>
These responsibilities require strong clinical judgment, excellent communication skills, and the ability to coordinate</i><br>
<i>across multiple systems while maintaining a member‑centered approach.</i></p>
Qualifications:
<p><b>
Required Qualifications</b></p><ul><li>
High school diploma or equivalent</li><li>
2+ years of experience in Medicaid‑funded case management, care coordination, or community health programs</li><li>
Experience working with high‑need populations (I/DD, aging adults, SMI, justice‑involved individuals, ruralcommunities, chronic disease, etc.)</li><li>
Demonstrate the ability to build strong partnerships with CMHPs, CDDPs, healthcare providers, andcommunity organizations</li><li>
Experience or skills in providing technical assistance, including provider education and best‑practiceimplementation support</li></ul><p><b>
Preferred Qualification</b></p><ul><li>
Bachelor&rsquo;s degree in Social Work, Public Health, Human Services, Healthcare Administration, or a related field</li><li>
Knowledge of Medicaid policy, including OHA standards and regulatory compliance</li><li>
Person‑Centered Planning principles</li><li>
HCBS and LTSS knowledge, including eligibility pathways and case management best practices</li><li>
Experience with behavioral health and disability services (I/DD, SMI, co‑occurring conditions)</li><li>
Equity and trauma‑informed care practices</li><li>
Interdisciplinary collaboration with CMHPs, housing supports, and community providers</li><li>
Data‑informed decision‑making using service utilization and outcomes data</li><li>
Regulatory compliance with CMS HCBS rules, OHA policies, and Medicaid processes</li></ul><div><b>
Why us?</b></div><div></div><div><br>
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.</div><div></div><div><b><br>
We do this through our people.</b></div><div></div><div><br>
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.</div><div></div><div><b><br>
Benefits</b></div><div></div><div><br>
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.</div><div></div><div><b><br>
Experience in Lieu of Degree</b></div><div></div><div><br>
For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.</div><div></div><div><b><br>
Thank You!</b></div><div></div><div><br>
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!</div><div></div><div><br>
~ The Acentra Health Talent Acquisition Team</div><div></div><div><br>
Visit us at https://careers.acentra.com/jobs</div><div></div><div><b><br>
EEO AA M/F/Vet/Disability</b></div><div></div><div><br>
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.</div><div></div><div><b><br>
Compensation</b></div><div></div><div><br>
The pay range for this position is listed below.</div><div></div><div><br>
&ldquo;Based on our compensation philosophy, an applicant&rsquo;s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.&rdquo;</div>
Pay Range: USD $61,280.00 - USD $70,000.00 /Yr.</div>

Case Manager, Associate

BURNS SHEPPARD FAVORS - Purely Legal

<p>Our firm is growing and looking for someone with law firm experience and open to growing with our firm. We are looking for an organized individual who is good at developing systems to maximize efficiency. As we are a small firm, the right candidate should be ok with wearing multiple hats in the beginning with the role becoming more focused as time goes on.</p><p><b>Legal Assistant/Paralegal Job Duties:</b></p><ul><li>Keeps cases organized by establishing and organizing files; monitoring calendars; meeting deadlines; documenting drafting; inputting information into file database and case management software; confirming case status with attorney.</li><li>Keeps clients informed by maintaining contact; communicating case progress.</li><li>Schedules hearings and manages attorney's calendar.</li></ul><ul><li>Helps develop cases by maintaining contact with people involved in the case; scheduling depositions; preparing and forwarding summonses and subpoenas; drafting complaints; preparing and filing discovery requests; preparing responses to opposing counsel; generating status reports.</li><li>Keeps clients informed by maintaining contact; communicating case progress.</li><li>Maintains case costs by verifying outstanding balances with attorney, clients, and providers.</li><li>Supports case preparation by preparing case summaries and materials for mediation conferences; preparing pleadings; monitoring and obtaining discovery responses from clients; organizing materials for team case review.</li><li>Enhances trial proceedings by organizing evidence; preparing exhibits; scheduling witnesses; ensuring that witnesses are ready when needed; taking courtroom notes.</li><li>Updates job knowledge by participating in educational opportunities; reading professional publications.</li><li>Create, revise and format legal documents, spreadsheets and presentations, adhering to Firm policy and guidelines.</li></ul><p><b>Legal Assistant Skills and Qualifications:</b></p><p><b>Special Skills Wanted: *Prior Personal Injury experience is a plus* *Familiarity with CLIO case management software is a plus* </b>Fluent in Spanish and English (not required), Research Skills, Legal Administration Skills, Client Relationships, Organization, Planning, Attention to Detail, Confidentiality, Dependability, Client Confidentiality. Must have an impeccable work ethic, excellent prioritization, grammar/proofreading skills, written &amp; verbal communication skills. Knowledge/prior experience with Bankruptcy proceedings preferable</p><p><b>Required Technical Skills: </b>MUST be efficient in Microsoft Outlook &amp; Microsoft Office (Word, Excel). Experience with internet research, Must be comfortable using cloud based software. Able to independently troubleshoot minimal and basic IT problems (computer savvy).</p><p><b>Job Benefits: </b>Work performance bonuses available, possible pay increase after the first 90 days.</p><p>Job Type: Full-time</p><p>Pay: $50,000.00 - $57,000.00 per year</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: Hybrid remote in Orlando, FL 32801</p>

Litigation Paralegal

Nichols Law

<p><b>Job Overview</b><br/>We are seeking a highly motivated and detail-oriented part-time Legal Assistant/Paralegal to join our office. In this role, you will provide essential support across a variety of legal practice areas, ensuring smooth case management and efficient workflow. Your proactive approach and strong organizational skills will contribute to delivering exceptional legal services to our clients. This position offers an exciting opportunity to develop your legal expertise while supporting complex legal processes in a fast-paced environment.</p><p><b>Duties</b></p><ul><li>Assist with document review, drafting, proofreading, and editing of legal documents, pleadings, and correspondence.</li><li>Manage case files and documents using iManage and other document management systems, ensuring accurate filing and easy retrieval.</li><li>Support attorney with project management tasks related to workers' compensation and personal injury law.</li><li>Prepare for client interviews by organizing case materials and assisting with client communication under supervision.</li><li>Provide administrative support including scheduling appointments, managing calendars, handling phone inquiries with professional etiquette, and organizing meetings.</li></ul><p><b>Skills</b></p><p>Experience as a paralegal or legal assistant in a busy law office environment is preferable, but not required</p><ul><li>Excellent organizational skills with the ability to manage multiple projects simultaneously while maintaining attention to detail.</li><li>Ability to handle clerical tasks such as data entry, filing, transcription, and maintaining organized case files efficiently.</li><li>Demonstrated professional phone etiquette combined with strong organizational skills to support attorney&lsquo;s administrative needs. Join us if you're eager to grow your legal career in a collaborative environment that values initiative and precision! This role is perfect for candidates looking for part-time work that could grow into a full time position with flexible hours!</li></ul><p>Job Type: Part-time</p><p>Pay: $25.57 - $30.79 per hour</p><p>Work Location: In person</p>

Legal Assistant/Paralegal

Tennessee State Government

<div><p><b>Executive Service</b>
</p><p></p><h2 class="jobSectionHeader"><b>LEGAL ASSISTANT</b></h2><h3 class="jobSectionHeader"><b>
Division of TennCare</b></h3><h3 class="jobSectionHeader"><b>
Office of General Counsel (OGC)</b></h3><h3 class="jobSectionHeader"><b>
Nashville, TN</b></h3><h3 class="jobSectionHeader"><b>
Minimum Salary $48,684/ Year
</b></h3><h3 class="jobSectionHeader"><b>TennCare compensation is equitable and will be based on education and experience for a qualified candidate in accordance with Department of Human Resources (DOHR) policy.</b></h3><h3 class="jobSectionHeader"><b>
Closing Date: 06/15/2026</b></h3><p>
The Division of TennCare is dedicated to providing our employees with a hybrid work environment. All TennCare positions have a combination of work from home and work in the office, which varies by position, department, and business need. You may review the specific expectations with our hiring team.</p><p><b><br>
Background Check:</b></p><p>
This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.</p><p><b><br>
Who we are and what we do:</b></p><p>
TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.7 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS).
</p><p>TennCare's mission is to improve the lives of Tennesseans by providing high-quality cost-effective care. To fulfill that purpose, we equip each employee for active participation and empower teams to communicate and worked collaboratively to improve organizational processes in order to make a difference in the lives our members. Because of the positive impact TennCare has on the lives of the most vulnerable Tennesseans, TennCare employees report that their work provides them with a sense of meaning, purpose, and accomplishment. TennCare leadership understands that employees are our most valuable resource and ensures professional and leadership development are a priority for the agency.</p><p><b>
Job Overview:</b></p><p>
The Office of General Counsel (OGC) advises and supports all TennCare departments on legal, strategic, regulatory, and compliance matters that advance its mission. The Request for Release (RFR) team is seeking a Legal Assistant to support the accurate and timely processing of Request for Release cases within TennCare's Office of General Counsel. This role will serve as a key member of the RFR team, working closely with attorneys and internal stakeholders to ensure cases are processed efficiently, documentation is maintained accurately, and sensitive information is handled in accordance with established procedures. The Legal Assistant will play an essential role in maintaining workflow continuity, supporting case-related communications, and contributing to overall operational effectiveness.</p><p><b>
Key Responsibilities:</b></p><ul><li><p>
Enter and maintain RFR case data within required timeframes, ensuring accuracy and completeness of all information and documentation
</p></li><li><p>Verify critical data (e.g., Social Security numbers) and flag discrepancies for review
</p></li><li><p>Process case data and prepare, review, and distribute correspondence, including notice of claim letters
</p></li><li><p>Access and update claim records to ensure accuracy of claims periods and case details
</p></li><li><p>Verify recipient and mailing information to protect confidential data and prevent errors
</p></li><li><p>Create and maintain internal tracking tools, including RFR and death certificate referral spreadsheets
</p></li><li><p>Organize and maintain case files and supporting documentation for efficient retrieval
</p></li><li><p>Manage incoming and outgoing mail, scan documents, and respond to and log voicemail communications
</p></li><li><p>The position is hybrid. The Legal Assistant will be required to work in the office at least once per week, with typically one to two additional in-office days per month based on team schedules and operational needs.
</p></li><li><p>The Legal Assistant will be required to attend meetings as scheduled by supervisors.</p></li></ul><p><b>
Minimum Qualifications:</b></p><p>
Education equivalent to graduation from an accredited college, university, or professional school with one of the following:
</p><p>(1) an Associate's Degree in Paralegal or Legal Assistant studies;
</p><p>(2) a Bachelor's Degree in Paralegal or Legal Assistant studies;
</p><p>(3) a Paralegal Certificate;
</p><p>or
</p><p>(4) one year (28 semester hours) of graduate level law school.
</p><p>OR
</p><p>Education equivalent to graduation from a standard high school and two years of full-time experience in researching legal issues and documenting findings to assist in building case files, settling legal disputes, and/or providing legal counsel to clients.
</p><p>Desirable Qualifications
</p><ul><li><p>Ability to maintain strong professional and interpersonal relationships while managing multiple priorities and adapting to changing needs and assignments.
</p></li><li><p>Demonstrated ability to prioritize competing demands, handle matters efficiently and proactively, and follow projects through to completion within established deadlines.
</p></li><li><p>Detail oriented with strong organization, facilitation, and communication skills.
</p></li><li><p>Strong computer data entry skills, including knowledge of proper punctuation and proofreading skills.
</p></li><li><p>Effective written communication skills, including the ability to draft letters, emails, and reports on behalf of the office staff. -Experience working with large-scale eligibility, enrollment, or case management systems similar to TennCare systems.
</p></li><li><p>Experience in the healthcare field</p></li></ul><p><i>
Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.</i></p></div><p></p>

LEGAL ASSISTANT - 78050

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