Care Management Assistant Chambersburg Case Management Day
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Job Location:
Chambersburg, PA - USA
Monthly Salary:
Not Disclosed
Posted on:
13 hours ago
Vacancies:
1 Vacancy
Job Summary
Description
Responsibilities
Qualifications
Schedule
Full Time Day Shift (80 hours biweekly)
Hours: Monday - Friday 8:00am - 4:30pm
Rotation: 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
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
- Educational assistance
- Financial education and support including DailyPay
- Wellness and Wellbeing programs
- Caregiver support via Weallthy
- Childcare referral service via Wellthy
Key Skills
- Accounting Software
- Time Management
- Accounts Administration
- Accounts Receivable
- Accounts Reconciliation
- Administrative Skill
- Leadership skills
- Accounting & Finance
- Accounts Management
- Communication
- Analysis Skills
- Relationship Management
- Team Player Spirit
- Budgeting Skills
- Accounts Payable
About Company
WellSpan Health is a nationally recognized health system serving South Central Pennsylvania and northern Maryland.
