Care Management Coordinator
4 weeks ago
Care Management Assistant Job Summary
We are seeking a skilled Care Management Assistant to join our team at WellSpan Health. As a Care Management Assistant, you will play a vital role in facilitating the discharge planning process and assisting the Care Management team with clerical functions.
Key Responsibilities:
- Assist with clerical functions, including filing, copying, scanning, emailing, and taking minutes.
- Determine patient health insurance benefit information as requested by the Care Management team.
- Review payor logs and enter authorization information into the electronic medical record.
- Receive denial information and record it in the electronic medical record, forwarding it to the assigned Care Manager.
- Initiate SNF authorizations as requested by the Care Management team, followed by documentation of payor determination in the electronic medical record.
- Complete discharge notifications to varied insurance payors.
- Assist the Care Management team with IMM notices to patients.
- Assist with medication pricing as requested by the Care Management team.
- Coordinate after-care issues with the appropriate team members.
- Support the Care Management team by coordinating follow-up PCP appointments.
- Compile data for and prepare regularly scheduled or special reports, analysis, and statements.
- Review daily patient discharge lists, route incomplete VNA orders, identify incomplete auth information, and review final disposition Epic navigator for accuracy and completeness.
- Work and maintain the Incomplete Auth work queue, obtaining delinquent authorizations and recording them in the electronic medical record.
Requirements:
- High School Diploma or GED required.
- 2 years of relevant experience required.
- Basic Life Support certification required.
Preferred Qualifications:
- Basic computer skills.
- Telephone etiquette.
- Good communication skills.
- Medical terminology preferred.
About WellSpan Health:
WellSpan Health is an equal opportunity employer and is committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at careers@wellspan.org. We will evaluate requests for accommodation on a case-by-case basis.
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