Case Management Coordinator

Internal Number : 24022490

All the benefits and perks you need for you and your family :

• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our promise to you :

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.

AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.

Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule : Full time

Shift : Days

Location : 9441 Health Center Drive Land O' Lakes, Florida 34637

The community you’ll be caring for : AdventHealth Connerton

• Specialty hospital for medically complex patients
• Pulmonary and Vapotherm Center of Excellence
• Staff consists of all Registered Respiratory Therapist, 65% BSN or above RN’s, Current staff certifications include CCRN, PCCN, CNML, WCNC, NEA-BC, and RN-BC
• Onsite BSN completion program partnership with South University with staff discounted rate
• Simulation Lab and Clinical Transition Pilot Program
• Free prep courses for national certifications
• Robust atmosphere for Clinicals - partnerships with multiple nursing, pharmacy, therapy and respiratory schools.
• Preceptorship and residencies for Respiratory and Nursing
• Opportunities to participate and lead in culturally diverse programs (Diversity, Equity & Inclusion, Employee Activity Committee, Spiritual Ambassadors)
• Open-door campus culture promoting direct relationships with leadership and c-suite.
• Full time chaplain on staff
• Team Member rewards and recognition programs to include : Daisy (RN), Employee of the Quarter, Phil (Respiratory), Service Awards, TWCE as Nice

The role you’ll contribute :

The Case Management Coordinator provides office / clerical and administrative support to director, manager, and supervisors on a day-to-day basis.

They may be assigned work in several different capacities within the Case Management department.

The value you’ll bring to the team :

• Reviews daily admission roster to assure insurance carrier has been contacted and determine if clinical review is required to obtain insurance authorization.
• Receives all faxed requests for clinical information from payers, organizes and communicates to the appropriate member of the Case Management team.
• Follows up to ensure clinical information has been communicate as requested.
• Answers the department phone and responds to voice mail in a timely manner. Monitors daily discharge report to assure all patient stay days are authorized.

Follows up with insurance carrier to obtain complete authorization.

Maintains up to date concurrent authorization for in house patients. Alerts Case Mangers for the need of concurrent or retrospective clinical information

Qualifications

The expertise and experiences you’ll need to succeed :

• Knowledge of Medicare, Commercial, and Managed Care guidelines. Preferred
• Two or more years related experience, preferably in an acute hospital environment. Preferred.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range.

The minimums and maximums for each position may vary based on geographical location.