Case Management Assistant
Broken Arrow, Oklahoma Facility Cornerstone Specialty Hospitals Broken Arrow
Req ID 513218 Post Date 06 / 27 / 2024
Description
Schedule : Monday - Friday 8am-5pm, must be willing to work 3 days in Muskogee and 2 days in Broken Arrow
JOB SUMMARY :
Underthe supervision of the Lead Case Manager, or Director of Quality,thisrolecompletesvariousduties to enhance the efficiencyof the CaseManagementDepartment, as well as support the dailyfunctionsofthecasemanagers.
Thisroleassistsinsecuringarrangements for the dischargetransitionandpost-acuteservices. While monitoring the revenuecycle process related to insurancecertifications,insuranceverification,peer-to-peercompletion,anddenial / appealtracking,thispositionserves as a liaisonbetween the CaseManagementDepartment,payers,andadditionalentities.
ESSENTIAL FUNCTIONS :
- Providesassistanceto the case managementstaff,includingbutnotlimitedto,creatingandsendingreferralpackets,organizingadmissionanddischargepatientrecords,makingphonecalls,obtainingsignatures,oranyother assistanceneededdetermined by the CM team.
- Assiststhe casemanagement teaminschedulingfamilyconferences.
- Assiststhe case managementteam by makingnecessaryarrangementsforpost-dischargefollow up care.
- Functionsas the pointofcontactandliaison for the hospitalCaseManagementDepartmentstaff regardingclinical insurancereviewcompletionand / orissues.
- Forwardsthe necessarypatientclinicalinformation for alladmission,concurrent,andretrospectiveinsurance reviews to payers for the completionof medical necessityreviews.
- Monitors,follow-up,documents,andtrackspayerresponses / requestsofcompletedclinicalreviews,includingapprovals,appeals,anddenials,andcommunicatestheseto the appropriatepersonnel hospitalstaff,physician,DCM,CaseManager,ClinicalDenialManagement,andCentralizedBusinessOffice(CBO) .
- Monitorsandtracksthe total hospitalcertifieddays of the patient for payers(commercial,managedcare,andMedicaid)andcommunicatesmissingcertifications to the Lead CM / DQ and Case Manager
- Organizesandprepares the necessaryclerical elements for the weeklyInterdisciplinaryTeamMeeting to functiontimelyandefficiently
- Enter DME needs per order sheet specifications
- Prepare Discharge IMM for delivery
- Deliver Advance Directive packets
- Assist with Rehab tracker sign ups
- Abilityto maintainconfidentiality of allpatient and / or employeeinformation to assurepatientand / or employeerights areprotected.
- Abilityto interface on alllevels of the organization by demonstratingexcellentinterpersonalskills.
- Abilityto communicateeffectively,both in writing andverbally.
- Abilityto workcooperativelyandcollaboratively as a memberof a team.
- Abilityto workunderstressand to respondquicklyinemergencysituations.
- Musthave good and regularattendance.
- Performsother relateddutiesas assigned.
Qualifications
QUALIFICATIONS :
- College degree in healthcare related field preferred
- LPN or social work degree preferred but not required
- Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department.
Proficient with WORD and EXCEL software, keyboard typing, and general office equipment.
Case Management Assistant
Under the supervision of the Lead Case Manager, or Director of Quality, this role completes various duties to enhance the efficiency of the Case Management Department, as well as support the daily functions of the case managers. While monitoring the revenue cycle process related to insurance certifi...
Case Management Assistant
Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department. ...
Regional Medical Laboratory OFFICE RESOLUTION - Certified Nursing Assistant (Paid Training)
Regional Medical Laboratory OFFICE RESOLUTION, part of Ascension is looking for caring and compassionate Certified Nursing Assistants (CNAs) to join our team!. ...
Reserve Social Worker
THE ARMY HEALTH CARE ADVANTAGE.As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career.Feel inspired with great case diversity and over 40,000 visits coming into the U.Army medical facilities and clinics around the world every day.See and ...
Supply Chain Program Manager (Aerospace)
As a project manager overseeing multiple LM Suppliers, daily activities will include: working with supplier personnel to prioritize components through manufacturing, validating the status of the deliverable parts and providing detailed status to LM procurement, preparing plans to reduce/prevent shor...
Licensed Clinical Social Worker (lcsw) - Remote
Brave Health is on a mission to expand access to high-quality, affordable care for behavioral health conditions.We utilize the power of technology to eliminate barriers and expand access to high quality mental health and substance use disorder treatment.Through telehealth services we are able to rea...
Grants & Funding Program Manager
The Grants and Funding Program Manager works collaboratively with leaders across divisions, regions and markets in developing grants and funding pursuit strategies, managing grant and funding programs, and formalizing grant and funding program structure. As a Grants and Funding Program Manager you w...
Assistant Site Manager
Are you enthusiastic about leading teams to success and providing outstanding customer service? If so our Assistant Site Manager position at Zips Car Wash in Tulsa, OK is the perfect position for you! As our Assistant Site Manager, you will oversee the smooth daily operations of the car wash a...
Office Administrative Assistant
This is a full-time on-site role for an Office Assistant located in Tulsa, OK. The Office Administrator will be responsible for various day-to-day tasks, including administrative assistance, social media, Linkedin, newsletters, website maintenance, document controls, communication, customer service,...
Data Warehouse Program Manager | Hybrid | $90k -$125k+
Data Warehouse Program Manager | Hybrid | $90k -$125k+**. This role is a combination of Program Manager/Sales/Data Role for someone very polished and strategic. Tulsa, OK / IT Project Manager / Direct Hire Founded in Tulsa, OK, Rogue Recruitment is the anti-staffing staffing company committed to e...