- High School Diploma or GED required and
- On-the-Job 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
- Previous directly related healthcare experience preferred
- 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.
- 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 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 on-site 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 all-inclusive. ","industry":"Healthcare
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Description
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.
Education
