Description
General Summary of Position
MedStar Health is looking for a Case Management Associate to join our team at MedStar Georgetown University Hospital! The ideal candidate will have strong word processing, spreadsheet management and communication skills.
As a Case Management Associate, you will assess the patient insurance/financial status to facilitate appropriate discharge planning. Uses departmental software to update hospital departments re: post hospital care referrals, provider contacts, and other related information. Serves as communication liaison between Clinical Case Managers, Social Workers and on-site reviewers. Interacts with Precert, PT/OT and Lombardi social worker/case managers.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
Verifies patient insurance/financial status as required for access to posthospital care. Places orders for posthospital care and verifies that posthospital care is secured prior to patient discharge. Attends multi-disciplinary rounds on the nursing unit floors as scheduled
Uses software to update the Case Management Department, PFS and Precert re: post hospital care referrals and provider contacts, and all other discharge arrangements. Monitors Utilization Review Line 8 hours daily to communicate that insurance companies need clinical info from the case managers.
Obtains patient medical records for patient referrals and/or discharge, as requested. Faxes referrals and chart copies as necessary. Facilitates weekly meetings and performs charge rotation in HR Coordinators/Supervisor's absence.
Prepares billing confirmation documents for GUH to be responsible for payments of services for indigent patients, signed by the Director of Case Management, as requested. Answers the main telephone line, verifies that voice mail has been attended to daily &transfers calls appropriately.
Serves as communication liaison between Clinical Case Managers, social workers and on-site reviewers. Communicates actual or potential problems with posthospital care, patient or provider relations to appropriate Clinical Case Manager and supervisor immediately.
Qualifications:
High School Diploma or GED.
Previous directly related healthcare experience preferred.
Medical Terminology class preferred.
This position has a hiring range of $18.33 - $31.61
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