Care Management Assistant - Case Management York Hospital - Days

Responsibilities

• Affords clerical functions such as filing, copying, scanning, emailing, telephone, taking minutes.
• Determines patient health insurance benefit information as needed by CMRN/CMSW.
• Reviews payor logs and enters authorization information into EMR/patient record.
• Receives denial information and records in EMR/patient record; forwards 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.
• Affords assistance to CM team with IMM notices to patient.
• Affords assistance with medication pricing as requested by CMRN/CMSW.
• Coordinates after care issues with the appropriate team members.
• Affords support to 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

• Minimum Education: High School Diploma or GED.
• 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.