Case Management Coordinator

4 weeks ago


Falls Church, Virginia, United States Inova Health System Full time
Job Summary

The Case Management Specialist coordinates and performs administrative activities to support the Case Management department. This role participates in the annual and ongoing budget processes, arranges services for assigned patient populations, and communicates and documents accurate clinical/financial information.

Key Responsibilities
  • Conducts timely arrangements of services to meet customer requirements.
  • Addresses and solves provider and payor issues quickly with support from Case Management staff.
  • Distributes and documents delivery of mandated Observation and Medicare IMM/HINN letters as directed.
  • Communicates financial and clinical information to clinicians, patients, families, care team members, and external customers.
  • Documents clinical and financial patient information to assist with discharge, planning, and access to continuing care services.
  • Communicates with payor and documents detailed instructions on billing, authorization, and utilization of services.
  • Completes state and federal forms related to patient level of care, according to regulatory standards, to assist with patient transition.
  • 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.
  • Maintains records of all system Case Management files and acts as liaison to Foundation, auxiliary, and external vendors.
  • 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.
Requirements
  • Experience: 2 years of relevant experience
  • Education: High School or GED
Benefits

Inova Health System offers a comprehensive benefits package, including health, vision, and dental coverage, tuition reimbursement, educational assistance, student loan assistance, state-of-the-art medical and training facilities, paid parental leave, retirement benefits, free parking, and exclusive savings opportunities.



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