Care Coordinator

2 days ago


Rapid City, South Dakota, United States Monument Health Full time
Job Summary

We are seeking a skilled Care Coordinator to support our Case Management/Social Work functions. This role will involve payer pre-authorizations/notifications, utilization review submissions, education of patients and families regarding required regulatory notices, and assisting with patient discharge arrangements.

Key Responsibilities
  • Collaborate with the healthcare team, patients/families, payers, physician offices, and other community agencies to ensure a team environment.
  • Demonstrate excellent customer service skills in all interactions to provide a smooth and efficient department operation.
  • Verify and obtain benefits levels from insurance carriers and employers when applicable and maintain accurate documentation.
  • Maintain working knowledge of procedures and insurance requirements.
  • Responsible for obtaining necessary knowledge and experience to perform job tasks in compliance with federal, state, and local laws, regulations, and guidelines.
  • Complete Medicare Message follow-up letter and Medicare Outpatient Observation Notices as identified by department process.
  • Educate patients and families on coverage and coordination progress as directed by Case Management/Utilization Management team.
  • Coordinate patient care transitions, including faxing information, arranging authorization and transportation, confirming arrangements, and obtaining clothing and durable medical equipment.
  • Support comprehensive coordination of medical services, including intake, screening, and implementing care plans to promote effective utilization of healthcare services.
Requirements
  • High School Diploma/GED Equivalent in General Studies
  • State drivers license; Certified Nurse Aide (CNA) - South Dakota Board of Nursing
  • 1+ years of Clerical Experience; 1+ years of Medical Terminology Experience
Physical Requirements

Sedentary work involves sitting most of the time.

Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects, including the human body.



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