Case Management Assistant- PT- Abington
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Job Location:
Montgomery County, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Job Details
Works under the direction of the Manager of Case Management and Case Manager RN to provide assistance with the utilization review process including communicating clinical information/reviews to third party payers to ensure certification/approval of inpatient and post-hospital services. Assists with the coordination of post hospital care and service arrangements.Job Description
Essential Functions
Interacts with co-workers visitors and other staff consistent with the values of Jefferson.
Negotiates with payers to obtain authorization for appropriate level of care and length of stay.
Responsible for meeting insurer timeframes regarding review of clinical information.
Provides prompt feedback regarding denials and other payer determinations to the Case ManagerRN and Physician Advisor.
Obtain payer authorization and coordinate identified homecare Durable Medical Equipment (DME)transportation infusion services and post-acute services for all identified patients.
Competencies (Knowledge Skills and Abilities Required):
Knowledge of the techniques and the ability to work with a variety of individuals and groups in aconstructive and collaborative manner.
Ability to manage multiple concurrent objectives projects groups or activities making effectivejudgments as to prioritizing and time allocation
Minimum Education and Experience Requirements:
Education:
High School Diploma required
AND
Experience:
Two years of experience in a health care setting preferred. Computer literate strong knowledge ofmedical terminology required
Work Shift
Workday Day (United States of America)Worker Sub Type
RegularEmployee Entity
Thomas Jefferson UniversityPrimary Location Address
1200 Old York Road Abington Pennsylvania United States of AmericaNationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.
For more benefits information please click here
Required Experience:
Junior IC
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
At Thomas Jefferson University in Philadelphia, PA, we are helping you to redefine what’s possible with innovative and tailored education opportunities.
