Case Manager Associate
Downtown Evansville Inc, Evansville, IN, United States
Midtown Hospital
600 Mary St
Evansville, IN 47710, USA
Midtown Hospital
600 Mary St
Evansville, IN 47710, USA
Gateway Hospital
4011 Gateway Blvd
Newburgh, IN 47630, USA
Gateway Hospital
4011 Gateway Blvd
Newburgh, IN 47630, USA
Benefits
Onsite children’s care centers (Infant through Pre-K)
Payactiv–earned wage benefit-work today get paid tomorrow
Competitive pay and Benefits package
Job Overview
Demonstrates knowledge and skills to provide clerical and supportive assistance of a specialized, administrative, and/or complex nature to Case Management Services Department and customers.
Demonstrates ability to be patient focused and willing to interact with patients, clinical staff, physicians, and the public in the inpatient hospital rooms and units.
Employee must be able to successfully demonstrate the staff requirements as specified in the Case Management Scope of Service, and complete the Case Management Department’s specific competencies, and meet/exceed the standards as identified in the criteria-based performance appraisal.
Essential Functions and Responsibilities
Job Duties
include the following: other duties may be assigned:
Supports Hospital Regulatory Compliance and Departmental Clerical Support (40%)
Prepares Regulatory Notices for patients, delivers and explains documents, obtains signatures from patients and processes accordingly. This is patient facing; includes coming in contact with sick individuals, requires critical thinking and sensitivity to circumstances, as well as attentiveness to needs of others. No clinical or personal patient care will be completed by the individual but must be comfortable being in the clinical environment.
Collaborates with the floor care team to ensure timely delivery of regulatory notices. Demonstrating persistence and ability to act autonomously to ensure the job is completed.
Provides clerical and receptionist support for Case Management Department and customers.
Operates and performs simple maintenance on office equipment.
Delegates assignments to others appropriately.
Coordinates special projects as required.
Coordinates on call schedule
Performs time keeping duties as assigned
Case Records (40%)
Transmits data via phone, fax, electronic portal, or mail in HIPAA Compliant fashion.
Ensures the patients right to privacy and appropriate confidentiality when information is released to others.
Assists Utilization Management staff in processing approvals, denials and insurance documents as necessary.
Interacts with Payor portals to follow up on authorizations and document in electronic medical record.
Participates on departmental and/or hospital committees and performance improvements as appropriate.
Participates on department and/or hospital committees and performance improvements as appropriate.
Telephone Services (20%)
Screens calls and routes to appropriate person
Records messages accurately and delivers to appropriate person promptly
Utilizes denial prevention technology i.e. recorded, monitored and automated calls, and documents tracking numbers. Verifies faxes are received and retrieves and processes voicemail in timely manner.
Required: Certifications/Licenses/Education
Education and Experience
High school diploma or general education degree (GED); three to six months related clerical experience; or one-year clerical training from college or technical school. CMA or Nursing Assistant experience and/or training is preferable.
Language Skills
Ability to read and interpret documents such as patient charts, safety rules, operating/maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to effectively present written or verbal information to customers, clients, and other employees of the organization.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fraction, and decimals.
Reasoning Ability
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form and to establish priorities.Ability to deal with problems involving several concrete variables in standardized situations.
Computer Skills
This job requires computer and system competency in the following areas: Enters data; retrieves data; uses and analyzes data. Ability to learn and use the provided electronic medical record system within three months of attaining position. Must have basic keyboard skills and ability to utilize various methods to relay necessary information via electronic medical record, internet, phone, and fax.
Other skills, ability or knowledge
Speaks clearly and persuasively in positive and negative situations. Listens and gets clarification. Writes clearly and informatively. Edits work for spelling and grammar. Able to read and interpret written information.
Manages difficult or emotional customer situations, Responds promptly to customer needs. Treats people with respect and consideration regardless of their status or position.
Consistently at work and on time. Ensures work responsibilities are covered when absent. Arrives at meeting and appointments on time. Follows instructions. Completes tasks on time or notifies appropriate person with an alternate plan.
Communication
Customer Service
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr
600 Mary St
Evansville, IN 47710, USA
Midtown Hospital
600 Mary St
Evansville, IN 47710, USA
Gateway Hospital
4011 Gateway Blvd
Newburgh, IN 47630, USA
Gateway Hospital
4011 Gateway Blvd
Newburgh, IN 47630, USA
Benefits
Onsite children’s care centers (Infant through Pre-K)
Payactiv–earned wage benefit-work today get paid tomorrow
Competitive pay and Benefits package
Job Overview
Demonstrates knowledge and skills to provide clerical and supportive assistance of a specialized, administrative, and/or complex nature to Case Management Services Department and customers.
Demonstrates ability to be patient focused and willing to interact with patients, clinical staff, physicians, and the public in the inpatient hospital rooms and units.
Employee must be able to successfully demonstrate the staff requirements as specified in the Case Management Scope of Service, and complete the Case Management Department’s specific competencies, and meet/exceed the standards as identified in the criteria-based performance appraisal.
Essential Functions and Responsibilities
Job Duties
include the following: other duties may be assigned:
Supports Hospital Regulatory Compliance and Departmental Clerical Support (40%)
Prepares Regulatory Notices for patients, delivers and explains documents, obtains signatures from patients and processes accordingly. This is patient facing; includes coming in contact with sick individuals, requires critical thinking and sensitivity to circumstances, as well as attentiveness to needs of others. No clinical or personal patient care will be completed by the individual but must be comfortable being in the clinical environment.
Collaborates with the floor care team to ensure timely delivery of regulatory notices. Demonstrating persistence and ability to act autonomously to ensure the job is completed.
Provides clerical and receptionist support for Case Management Department and customers.
Operates and performs simple maintenance on office equipment.
Delegates assignments to others appropriately.
Coordinates special projects as required.
Coordinates on call schedule
Performs time keeping duties as assigned
Case Records (40%)
Transmits data via phone, fax, electronic portal, or mail in HIPAA Compliant fashion.
Ensures the patients right to privacy and appropriate confidentiality when information is released to others.
Assists Utilization Management staff in processing approvals, denials and insurance documents as necessary.
Interacts with Payor portals to follow up on authorizations and document in electronic medical record.
Participates on departmental and/or hospital committees and performance improvements as appropriate.
Participates on department and/or hospital committees and performance improvements as appropriate.
Telephone Services (20%)
Screens calls and routes to appropriate person
Records messages accurately and delivers to appropriate person promptly
Utilizes denial prevention technology i.e. recorded, monitored and automated calls, and documents tracking numbers. Verifies faxes are received and retrieves and processes voicemail in timely manner.
Required: Certifications/Licenses/Education
Education and Experience
High school diploma or general education degree (GED); three to six months related clerical experience; or one-year clerical training from college or technical school. CMA or Nursing Assistant experience and/or training is preferable.
Language Skills
Ability to read and interpret documents such as patient charts, safety rules, operating/maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to effectively present written or verbal information to customers, clients, and other employees of the organization.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fraction, and decimals.
Reasoning Ability
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form and to establish priorities.Ability to deal with problems involving several concrete variables in standardized situations.
Computer Skills
This job requires computer and system competency in the following areas: Enters data; retrieves data; uses and analyzes data. Ability to learn and use the provided electronic medical record system within three months of attaining position. Must have basic keyboard skills and ability to utilize various methods to relay necessary information via electronic medical record, internet, phone, and fax.
Other skills, ability or knowledge
Speaks clearly and persuasively in positive and negative situations. Listens and gets clarification. Writes clearly and informatively. Edits work for spelling and grammar. Able to read and interpret written information.
Manages difficult or emotional customer situations, Responds promptly to customer needs. Treats people with respect and consideration regardless of their status or position.
Consistently at work and on time. Ensures work responsibilities are covered when absent. Arrives at meeting and appointments on time. Follows instructions. Completes tasks on time or notifies appropriate person with an alternate plan.
Communication
Customer Service
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
#J-18808-Ljbffr