Case Management Associate - Washington, United States - MEDSTAR HEALTH

MEDSTAR HEALTH

Verified Company

Washington, United States

21 hours ago

Posted by:

Mark Lane

beBee recruiter

Description

General Summary of Position
Assesses 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.

The functions are performed in accordance with all applicable laws and regulations and MedStar Georgetown University Hospital's philosophy, policies, procedures and standards.

Primary Duties and Responsibilities

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 multidisciplinary rounds on the nursing unit floors as scheduled
Uses software to update the Case Mgmt Dept, 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 onsite reviewers.
Communicates actual or potential problems with posthospital care, patient or provider relations to appropriate
Clinical Case Manager and supervisor immediately.
Notifies supervisor if workload requires assistance and/or problems can not be resolved.
Assumes other duties and responsibilities that are appropriate to the position and area. The above responsibilities are a general description of the level and nature of the work assigned to this classification and are not to be considered as allinclusive.

Minimum Qualifications

Education

High School Diploma or GED required and
OntheJob Training with two years post high school education or technical training, preferably in a health care related field. required and
Medical Terminology class attendance preferred

Experience

Previous directly related healthcare experience preferred

Knowledge, Skills, and Abilities

Demonstrable skill with word processing and spreadsheet management.
Ability to utilize the departmental software to communicate with internal case managers and Hospital Precert/Admissions.
Excellent verbal and written communication skills.

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered.

We live up to this promise through:
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Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
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Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
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Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
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More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research.

Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation.

As the medical education and clinical partner of Georgetown University for more than