Care Management Resource Coordinator
3 days ago
We are seeking a highly organized and detail-oriented Care Management Resource Coordinator to support the efforts of our Social Work, Case Management, and Utilization Management teams. The successful candidate will provide administrative support to ensure a positive patient-family experience during hospitalization, facilitate safe and timely discharge of patients, and reduce risk of unfunded services or excessive cost to patients-families.
Key Responsibilities
• Supports Social Work activities by receiving, evaluating, and fulfilling requests for local transportation vouchers, meal cards, and other amenities.
• Receives, evaluates, and facilitates requests for out-of-area transportation, including air travel and lodging.
• Identifies and provides appeal rights letters to in-house Tricare and Medicare patients, and documents in log and the medical record.
• Verifies address and other demographic information for purposes of coordinating delivery of home needs and communication with families post-discharge.
• Determines third-party payer coverage/benefits and obtains insurance pre-authorization for home health services, post-discharge medications, rehabilitative therapy, durable medical equipment, medical transportation, and other post-discharge needs.
• Facilitates arrangements for post-discharge needs, including scheduling services and coordinating availability of equipment/supplies and medications, under the direction of the Case Manager.
• Monitors and determines bed availability at rehab facilities, other acute care hospitals, long-term care facilities, mental health facilities, and other organizations.
• Coordinates peer-to-peer medical records with third-party payers and PCH providers.
• Conducts post-discharge follow-up calls to patients, and appropriately notifies Case Managers when intervention is needed.
Requirements
• High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred.
• Excellent communication and customer service skills.
• Ability to work in a fast-paced environment and prioritize multiple tasks and responsibilities.
• Strong organizational and time management skills.
• Proficiency in Microsoft Office and other software applications.
About Phoenix Children's Hospital
Phoenix Children's Hospital is a leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research, and advanced medical education. We are committed to advancing hope, healing, and the best healthcare for children and their families.
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