Care Management Coordinator

4 weeks ago


Lebanon, Pennsylvania, United States WellSpan Health Full time

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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