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    Lead Case Management Asst - Orange City, United States - AdventHealth

    AdventHealth
    AdventHealth Orange City, United States

    2 weeks ago

    AdventHealth background
    Description

    Internal Number:

    All the benefits and perks you need for you and your family:

    -Benefits from Day One

    -Paid Days Off from Day One

    -Student Loan Repayment Program

    -Career Development

    -Whole Person Wellbeing Resources

    -Mental Health Resources and Support

    -Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)

    Our promise to you:

    Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

    Schedule: Full Time

    Shift : Days

    The community you'll be caring for: Fish Memorial, 1055 Saxon Blvd 1st Floor, Orange City, FL 32763

    The role you'll contribute:

    The Care Navigation Lead is responsible for assisting in coordination of care and services for assigned patients under the direction of Care Management Leadership, and in collaboration with the multidisciplinary team and patient/family. The Care Navigation Lead establishes a general working knowledge of payor-specific documentation, regulatory and authorization requirements, the clinical review process, provision of acute and post-acute services, as appropriate for the role. Actively participates in outstanding customer service, escalates as appropriate to effectively and promptly resolve issues, and accepts responsibility in maintaining relationships that are equally respectful to all.

    The Care Navigation Lead of the post-acute team ensures discharge arrangements are compliant with payor requirements and regulatory guidelines. Responsible for assisting in implementation of patient discharge plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations are secured and documented as a support function for Care Management staff.

    The Care Navigation Lead acute care and/or ED team establishes a general working knowledge of post-acute appointment needs. Ensures regulatory requirements are compliant with CMS and AHCA regulations and post-acute appointments are secured prior to patient's discharge, as appropriate within their role.

    The value you'll bring to the team:

    ·Monitors performance of the staff and report's findings to Care Management Leadership

    ·Utilizes critical thinking skills in the performance of their duties. Supports the planning, organizing, and leading of the team through application of critical thinking skills. Utilizes data-driven decision making, incorporating evidence into the decision process.

    ·Performs skills necessary to create a high-quality patient experience, as reflected through acceptable satisfaction scores, quality monitoring, and patient feedback.

    ·Identifies, documents, and tracks avoidable delays.

    ·Demonstrates appropriate customer-care skills such as empathy, active listening, courtesy, politeness, helpfulness and other skills as identified.

    ·Performs skills necessary to create a high-quality patient experience, as reflected through acceptable satisfaction scores, quality monitoring, and patient feedback.

    The expertise and experiences you'll need to succeed:

  • Minimum qualifications :
  • High School Diploma or GED
  • At least five-years of experience in a customer service environment
  • At least three-year experience in a healthcare environment
  • Ability to multitask and function in a stressful, fast-paced environment
  • Professional presentation and decorum aligned with environment in which they are situated.
  • Ability to speak using clear and professional language.
  • Demonstrate written communication skills.
  • Demonstrate interpersonal/verbal communication skills.
  • Knowledge of medical terminology
  • Knowledge of Microsoft Office (Word, Excel and PowerPoint)
  • Preferred qualifications:

    • oAssociate's Degree in a healthcare-related field

    oExperience working in a healthcare setting

    oEPIC

    oCareport

    oPayor Portals

    This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
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