Gettysburg, PA | Clerical and Administrative | Tracking Code: 88643
Case Management Assistant - Gettysburg Hospital - Day
Schedule & Location:
Full-Time: 80 hours, Biweekly
Monday - Friday, 8am-4:30pm, Occasional holidays required
Gettysburg Hospital
Job Description:
Under direct supervision, 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
- Assists with clerical functions (e.g., filing, copying, scanning, emailing, telephone, taking minutes)
- Determine 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.
- Assist 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.
Qualifications
- Notes:
- BLS certification is required for this position.
- Minimum Experience:
- 2 – 3 years
- Minimum Education:
- High School or G.E.D.
- Physical Demands:
- Prolonged, extensive, or considerable standing/walking
- Skills:
- Basic computer skills; telephone etiquette; good communication skills; medical terminology preferred
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Join our team of 20,000 strong working as one. Teamwork, collaboration, partnership—WellSpan Health is an integrated system designed to work as one to build healthier, stronger communities throughout central Pennsylvania and northern Maryland. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.
Employment Benefits
- Sign-on incentives for new employees (click here for details)
- Medical, dental and vision insurance
- Life and accidental death insurance
- Supplemental life insurance
- Retirement savings plan
- Paid time off (PTO)
- PTO bridging
- Short-term disability
- Educational assistance
- Forgivable loan
- Flexible spending
- Credit union
- Employee recreational activities
- Childcare
- Complimentary medicine discounts
Diversity & Inclusion
Welcome. Respect. Value.
Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.
WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.
Quality of Life
Established in 1800, Adams County includes the borough of Gettysburg, Pennsylvania. Home to more than 100,000 residents, the town is a mecca for Civil War history buffs and visitors who come to tour the Gettysburg National Battlefield, Gettysburg National Military Park and see the annual Civil War reenactment.
Also located here is Gettysburg College, which has a strong academic reputation in liberal arts. The county is steeped in heritage, and offers a peaceful, country atmosphere, yet is a convenient drive to Washington, D.C., Baltimore, MD and Harrisburg, PA. The area's diversity attracts a lively local music scene, and his home to numerous restaurants and wineries, fresh-produce markets, a ski resort and more. Adams County residents can find local employment in healthcare, tourism, agriculture and manufacturing. (Patient population: 102,000)
