Case Management Specialist

2 months ago

Alexandria, United States Inova Health System Full time

As a Case Management Specialist, you will administer and monitor financial and revenue management programs for the Case Management department. To help achieve our mission, you will coordinate and perform a wide variety of administrative activities to support the Case Management department. Participating in the annual and ongoing budget processes is required. Your ability to interpret and communicate payor requirements to Case managers, Social Workers, patients and physicians is required. Receiving and documenting benefit and contract level requirements in order to ensure the appropriate utilization of benefits and services is of vital importance. Your ability to support the case management outcome model through clinical, clerical and support services in order to assist with the planning, assessment and implementation of appropriate patient transitions is expected.

Job Responsibilities

  • Manages and maintains state required UAI filings as well as all accounts receivable/payable functions for the department to ensure timely payments.
  • Maintains and monitors the system Case Management program including reimbursement of all negotiated vendor contracts.
  • Provides support to the strategic planning and business development initiatives of the department. Reviews and approves time/attendance for department staff on a biweekly basis. Performs periodic reviews to track employee time and attendance for department leadership. Submits any identified time/pay adjustments to Payroll in a timely manner.
  • Assists in monitoring the operational budget, in collaboration with department Director, related to funds disbursement and reconciliation.
  • Tracks and monitors accounting for budgets, capital requests, travel funds and business expenses.
  • Maintains Trauma Social Work on-call schedule.

Requirements

Education:

  • AA Degree in Business Admin/ Accounting or Related Field, OR, Equivalent Professional Experience (up to 5 years).

Experience:

  • Five years of experience

What We Have to Offer YOU

Benefits and Perks

  • Tuition Assistance: Tuition reimbursement up to a maximum assistance of $5,250
  • Student Loan Assistance: Monthly payment toward team member's outstanding student loan debt
  • Paid Parental Leave: Provide up to four weeks 100% pay for team members to care for and bond with a newborn or newly adopted child
  • Competitive salary
  • Medical, Dental, Vision & Savings and Spending Accounts (HSA/FSA)
  • Life Insurance, Short/Long Term Disability
  • Retirement Savings Plan: Inova makes a matching contribution on the first 5% of pay you contribute
  • Time Away Programs: You earn or "accrue" PTO on an hourly basis during the calendar year, beginning with your first hour of work.
  • Supplemental Benefits: Auto/Home Insurance discounts, Pet Insurance & Pet Care Discount Program, Identity Theft Protection, Legal Services
  • Additional Benefits, Perks, & Discounts: Commuter Benefits, Back-up Child and Elder Care, Adoption Assistance Plan, Credit Union, Team Member Purchasing Program

Inova is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

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