Care Management Assistant - Chambersburg - Day
Care Management Assistant - Chambersburg - Day
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Full time (80 hours biweekly)
Monday - Friday 8:00am - 4:30pm
Rotating every 4th weekend
General Summary
Performs a variety of duties related to facilitating the discharge planning process. Assists the Care Management team with the clerical functions. All tasks listed below may be expected in assigned daily work.
Responsibilities
Duties and Responsibilities
Essential Functions:
- Assists with clerical functions (e.g. filing copying scanning emailing telephone taking minutes)
- Determines patient health insurance benefit information as requested by CMRN/CMSW.
- Reviews payor logs and enters authorization information into EMR/patient record.
- Receives denial information and records in EMR/patient record; forwarding same to assigned CMRN.
- Initiates SNF authorizations as requested by CMSW/CMRN; followed by documentation of payor determination in EMR/patient record.
- Completes discharge notification to varied insurance payors.
- Assists CM team with IMM notices to patient.
- Assists with medication pricing as requested by CMRN/CMSW.
- Coordinates after care issues with the appropriate team members.
- Supports the CM team by coordinating follow up PCP appointments.
- Compiles data for and prepares regularly scheduled or special reports analysis and statements.
- Reviews daily patient discharge list routes incomplete VNA orders identifies incomplete auth information reviews final disposition Epic navigator for accuracy and completeness.
- Works and maintains Incomplete Auth work queue; obtains delinquent authorizations and records in EMR.
Common Expectations:
- Maintains Downtime computer terminal/ associated logs.
- Enhances professional growth and development through participation in educational programs current literature in-service meetings and workshops.
- Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Qualifications
Minimum Education:
- High School Diploma or GED Required
Work Experience:
- 2 years Relevant experience. Required
Licenses:
- Basic Life Support Upon Hire Required
Knowledge Skills and Abilities:
- Basic computer skills.
- Telephone etiquette.
- Good communication skills.
- Medical terminology preferred.
Benefits Offered:
- Comprehensive health benefits
- Flexible spending and health savings accounts
- Retirement savings plan
- Paid time off (PTO)
- Short-term disability
- Education assistance
- Financial education and support including DailyPay
- Wellness and Wellbeing programs
- Caregiversupport via Wellthy
- Childcare referral service via Wellthy
Employment Type
Full-Time
