Case Management Associate
7 days ago
Job Summary:
Assesses the patient insurance/financial status to facilitate appropriate discharge planning. Uses departmental software to update hospital departments re: post hospital care referrals, provider contacts, and other related information. Serves as communication liaison between Clinical Case Managers, Social Workers and on-site reviewers. Interacts with Precert , PT/OT and Lombardi social worker/case managers.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the \"Healthiest Maryland Businesses\". Apply today and learn how MedStar Health can be your next great career move
Primary Duties:
- Verifies patient insurance/financial status as required for access to posthospital care.
- Places orders for posthospital care and verifies that posthospital care is secured prior to patient discharge.
- Attends multi-disciplinary rounds on the nursing unit floors as scheduled
- Uses software to update the Case Mgmt Dept, PFS and Precert re: post hospital care referrals and provider contacts, and all other discharge arrangements.
- Monitors Utilization Review Line 8 hours daily to communicate that insurance companies need clinical info from the case managers.
- Obtains patient medical records for patient referrals and/or discharge, as requested .
- Faxes referrals and chart copies as necessary.
- Facilitates weekly meetings and performs charge rotation in HR Coordinators/Supervisor's absence.
- Prepares billing confirmation documents for GUH to be responsible for payments of services for indigent patients, signed by the Director of Case Management, as requested .
- Answers the main telephone line, verifies that voice mail has been attended to daily &transfers calls appropriately.
- Serves as communication liaison between Clinical Case Managers, social workers and on-site reviewers.
- Communicates actual or potential problems with posthospital care, patient or provider relations to appropriate Clinical Case Manager and supervisor immediatel y .
- High School Diploma or GED required
- Previou s directly related healthcare experience preferred
- Medical Terminology class preferred
- Strong abilities in word processing and spreadsheet management
- Excellent verbal and written communication skills
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