Care Manager Assistant PRN - WJMC

Job description

Your job is more than a job As a Care Management Assistant, you support the care management team with the utilization review process such as intake, transmission, and tracking of clinical reviews to payors, coordination of post hospital care and service arrangements, and ensuring that documentation, communication and information required to facilitate patient discharge is complete. You understand that it’s not just “paperwork”. What you do is a vital connection that facilitates and readies patients for the next phase of their healthcare journey. That’s why you put a little “extra” heart into everything you do. We love that about you. Your experiences, knowledge, skills, empathy, compassion, and your “little something extra” all add up to you. And we’re excited to get to know you and find out what you’ll bring to this care management support role. Your Everyday Participate in discharge planning activities as needed to ensure appropriate referrals to post-acute providers and timely patient discharges. Assist in the research for available preferred providers for post-acute care to meet the patient’s needs for discharge. Contact post-acute care providers and transmit information needed for the referral process and provide follow-up to ensure identification and communication of available resources. Collect, copy, and transmit pertinent patient demographic and clinical information required to complete arrangements for post-acute care and/or placement. Transmit transition of care documents to primary care physician and post-acute providers. Facilitate timely transmission of reviews to the payers in coordination with the case management team. Communicate pertinent information received from payers to relevant stakeholders. Support and assist with concurrent insurance denials and appeals processes and provide denial and non-certified day information to the appropriate stakeholders to reduce potential denials. Collaborate with other departments to ensure accuracy of patient and payer information. Assist the department leadership in data management. Maintain accurate payer contact information and update in software system to ensure accuracy in review submission. Validate and update vendor information. Schedule Weekend Coverage The Must-Haves Minimum: Combination of appropriate education and work experience. High school diploma/GED and 2 years of office/clerical experience in a healthcare setting. 4 years of experience in a healthcare setting is required in lieu of education. WORK SHIFT: Weekends (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.