Care Management Assistant - Case Management York Hospital - Days
Samantha Killian
Talent Acquisition Consultant
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Full time (36 hours weekly)
three 8 hour shifts, and one 12 hour shift
works 4 weekends per year**
General Summary
Performs a variety of duties related to facilitating the discharge planning process. Assists the Care Management team with the clerical functions. All tasks listed below may be expected in assigned daily work.
Duties and Responsibilities
Essential Functions:
- Assists with clerical functions (e.g., filing, copying, scanning, emailing, telephone, taking minutes)
- Determines patient health insurance benefit information as requested by CMRN/CMSW.
- Reviews payor logs and enters authorization information into EMR/patient record.
- Receives denial information and records in EMR/patient record; forwarding same to assigned CMRN.
- Initiates SNF authorizations as requested by CMSW/CMRN; followed by documentation of payor determination in EMR/patient record.
- Completes discharge notification to varied insurance payors.
- Assists CM team with IMM notices to patient.
- Assists with medication pricing as requested by CMRN/CMSW.
- Coordinates after care issues with the appropriate team members.
- Supports the CM team by coordinating follow up PCP appointments.
- Compiles data for and prepares regularly scheduled or special reports, analysis, and statements.
- Reviews daily patient discharge list, routes incomplete VNA orders, identifies incomplete auth information, reviews final disposition Epic navigator for accuracy and completeness.
- Works and maintains Incomplete Auth work queue; obtains delinquent authorizations and records in EMR.
Common Expectations:
- Maintains Downtime computer terminal/ associated logs.
- Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
- Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Minimum Education:
- High School Diploma or GED Required
Work Experience:
- 2 years Relevant experience. Required
Licenses:
- Basic Life Support Upon Hire Required
Knowledge, Skills, and Abilities:
- Basic computer skills.
- Telephone etiquette.
- Good communication skills.
- Medical terminology preferred.
Benefits Offered:
- Comprehensive health benefits
- Retirement savings plan
- Paid time off (PTO)
- Education assistance
- Financial education and support, including DailyPay
- Expanded Paid Parental Leave
For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org)
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At WellSpan Health, we are committed to treating all applicants fairly, 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. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.
Team Member Benefits
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In our most popular plan, WellSpan Plus, you pay 0% co-insurance after meeting your deductible. Even in our other plans, the coinsurance rate is just 5%, which is significantly lower than the typical cost for health care workers.
Ready to learn more about our comprehensive benefits? Visit WellSpan Benefits.
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- Life and accidental death insurance
- PTO bridging
- Short term disability
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