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Case Management Assistant
3 months ago
**All the benefits and perks you need for you and your family**:
- Benefits and Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
**Our promise to you**:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better.
**Schedule**: Full-Time
**Shift** : Days
**The community you’ll be caring for**: 1000 WATERMAN WAY, Tavares, FL 32778
**The role you’ll contribute**: The Case Management Assistant (CMA) oversees the business functions of the department and is responsible for coordinating clinical requests for payers and assisting in the authorizations and denial management communication between Case Management and PFS. The CMA has a general working knowledge of payer specific documentation and authorization requirements. CMA assists in compiling data related to patient outcomes and auditing data for accuracy.
**The value you’ll bring to the team**
- Oversees business functions on an ongoing basis. Business functions are defined as scheduling department meets, keeping and posting department meeting minutes, materials procurement, data management as directed.
- Supports Director/Manager/Supervisor with special projects and maintaining department statistics
- Coordinates clinical requests for reviews for all payors and maintains CPA (Cerner Patient Accounting) reports to facilitate work flow.
- Supports discharge case managers in directing referrals, communicating patient information, and serving as liaison with physicians, hospital staff, and community agencies/liaisons.
- Coordinate authorization/denial management communications with physician advisor, PFS, revenue management and registration.
- Compile reports through Power Insight and Cerner/CPA for statistical data and reporting functions (ie: missing Medicare certifications, unsigned orders, register as orders and readmission detail).
- Receive/direct telephone communications with case management department.
- Coordinates and oversees the “Important Message from Medicare” hospital wide.
- Provide administrative support for department supervisor, manager and director, coordinating calendar/meetings, prepares letters/other communications.
- Maintain case management department mail and correspondence/files.
- Oversees the vendor mate process as it pertains to community liaisons.
- Manage/maintain departmental equipment and supplies
- Monitors employee net-learning completion, relevant covered persons, fire safety, etc for hospital compliance.
- Maintains required credentials/cards (BLS, Fit testing and licensure deadlines)
- Maintain department time-keeping/payroll.
- Maintains the Disaster List
- Oversees the department volunteers/auxiliary staff.
- Serves as a liaison/representative of Case Management to other Hospital Departments.
- Other duties as assigned/requested by the department director/manager.
**Qualifications**:
**The expertise and experiences you’ll need to succeed**:
- High school graduate or equivalent
- Previous hospital case management experience preferred.
- Knowledge of hospital authorizations/billing practices
- Basic Life Support Certification
- Associates Degree in a health-related field
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
**Category**: Case Management
**Organization**: AdventHealth Waterman
**Schedule**: Full-time
**Shift**: 1 - Day
**Req ID**: 24019102
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
