Utilization Management Assistant

Overview

Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St.

Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart Institute, a cardiovascular research and education institution founded in 1962 by Denton A.

Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times.

Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.

CHI St. Luke’s Health, now part of CommonSpirit Health formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health, has been serving our community since 1954.

We proudly provide a vast array of services that help us keep our community safe and healthy. Our world needs compassion like never before.

Our communities need caring, and our families need protection. With our combined resources, we are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

This role will allow you to give back to our community and broaden your healthcare skills.

We offer the following benefits to support you and your family :

• Health / Dental / Vision Insurance
• Free Premium Membership to with preloaded credits for children and dependent adults
• Care for Caregivers : Resilience Through Adversity is a series of sessions designed to help caregivers build their resilience and advance their mental well-being during these difficult times
• Flexible spending accounts
• Voluntary Protection : Group Accident, Critical Illness, and Identity Theft
• Employee Assistance Program (EAP) for you and your family
• Paid Time Off (PTO)
• Tuition Assistance for career growth and development
• Matching Retirement Programs
• Wellness Programs

Responsibilities

1. Utilizes case management software (Midas) to generate work lists2. Initiates authorizations for all admissions3. Submits clinical information per third party payer requirements4.

Initiates precertification process for inpatient rehabilitation5. Upon identification of possible concurrent denial, the tech forwards the information to the appropriate case manager6.

Notifies third party payer of patient discharge and secures all days7. Utilizes effective communication skills to Accurately complete work8.

Collaborates effectively with all department staff to achieve goals and objectives

Qualifications

• High School Diploma / GED
• Medical Terminology*Computer Proficient (MS Word, Excel, and Outlook)
30+ days ago