Case Manager Assistant/Secretary Full Time Summa Rehab Hospital
Overview:
COME BUILD YOUR CAREER WITH Summa Rehab Hospital! We are seeking a Case Manager Assistant/Secretary to join our team!Full-time; non-exempt; 40 hours/weekMonday-Friday, 7:
00 a.
m.
-3:
30 p.
m.
Responsibilities:
Provides clerical and administrative support to the Case Management team to facilitate care coordination, discharge planning, and utilization review.
This may include but is not limited to:
Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system.
After receiving training may assist with issuing the Medicare Important Message.
Assists with initial post discharge referrals and makes follow up calls to providers regarding referrals and acceptance.
Assistswith arrangement of post-acute care services such as Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion and Wound Care Centers, and post discharge transportation.
Assists with preparation and completeness of discharge packets that accompany patients to Skilled Nursing, Subacute, and Acute Rehab Facilities.
Assists in arranging post discharge physician appointments with primary care physician and specialist.
May conduct post discharge calls to patients and providers and refer to appropriate disciplines if additional follow up is needed.
Required Skills:
High school diploma or equivalent required.
Knowledge of medical terminology required.
Minimum one (1) year of experience as an Administrative Assistant or higher role required.
Previous experience in a health care or health insurance setting required.
Significant computer/data gathering and processing experience required.
Additional Qualifications/Skills:
Minimum one (1) year of case management experience preferred.
Previous Rehab experience preferred.
CCM certification strongly preferred.
ACM, CRRN or CIRS preferred.
Working knowledge and ability to apply professional standards of practice in job situations.
Must be assertive and personable with the ability to balance the complex challenge of delivering quality, cost-appropriate, and service-oriented outcomes.
Demonstrates comprehensive knowledge of the principles and concepts of case management and applicable standards of voluntary and regulatory agencies for review activities.
Proficient in collecting and retrieving material from medical records.
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.
Communication skills, both written and oral, must be outstanding and practiced with all internal and external business relationships.
Ability to project a professional image.
Interpersonal relationship abilities must be highly refined with negotiation and problem solving skills at a very high level.
Must possess strong clinical assessment and process skills.
Critical thinking skills must be demonstrated in all situations.
Ability to make independent decisions when circumstances warrant.
Knowledge of regulatory standards and compliance requirements.
Strong organizational, prioritizing and analytical skills.
Working knowledge of computer and software applications used in job functions.
Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.
Qualifications:
Per Federal Health Care Worker Vaccine Requirements, all employees must be fully vaccinated against COVID-19 or be approved for a valid religious or medical exemption.
Anyone hired by the company must provide proof of their COVID-19 vaccine before they can begin employment or request and be approved for a valid religious or medical exemption.
At Summa Rehab Hospital, employees are our priority.
We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members in the greater Northeast Ohio area.
Below is a brief summary of our benefits.
Medical coverage with prescription plan Dental and Vision coverage Work life balance generous PTO plan Life insurance Short- and Long-Term Disability EAP Flex plans 401K matching Pet insurance Group legal provides legal assistance with personal legal matters Tuition reimbursementAt Summa Rehab, our patients are family.
Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe.
Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside.
Recommended Skills Analytical Assertive Care Coordination Case Management Certified Rehabilitation Registered Nurse Clinical Works Estimated Salary: $20 to $28 per hour based on qualifications.
COME BUILD YOUR CAREER WITH Summa Rehab Hospital! We are seeking a Case Manager Assistant/Secretary to join our team!Full-time; non-exempt; 40 hours/weekMonday-Friday, 7:
00 a.
m.
-3:
30 p.
m.
Responsibilities:
Provides clerical and administrative support to the Case Management team to facilitate care coordination, discharge planning, and utilization review.
This may include but is not limited to:
Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system.
After receiving training may assist with issuing the Medicare Important Message.
Assists with initial post discharge referrals and makes follow up calls to providers regarding referrals and acceptance.
Assistswith arrangement of post-acute care services such as Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion and Wound Care Centers, and post discharge transportation.
Assists with preparation and completeness of discharge packets that accompany patients to Skilled Nursing, Subacute, and Acute Rehab Facilities.
Assists in arranging post discharge physician appointments with primary care physician and specialist.
May conduct post discharge calls to patients and providers and refer to appropriate disciplines if additional follow up is needed.
Required Skills:
High school diploma or equivalent required.
Knowledge of medical terminology required.
Minimum one (1) year of experience as an Administrative Assistant or higher role required.
Previous experience in a health care or health insurance setting required.
Significant computer/data gathering and processing experience required.
Additional Qualifications/Skills:
Minimum one (1) year of case management experience preferred.
Previous Rehab experience preferred.
CCM certification strongly preferred.
ACM, CRRN or CIRS preferred.
Working knowledge and ability to apply professional standards of practice in job situations.
Must be assertive and personable with the ability to balance the complex challenge of delivering quality, cost-appropriate, and service-oriented outcomes.
Demonstrates comprehensive knowledge of the principles and concepts of case management and applicable standards of voluntary and regulatory agencies for review activities.
Proficient in collecting and retrieving material from medical records.
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models.
Communication skills, both written and oral, must be outstanding and practiced with all internal and external business relationships.
Ability to project a professional image.
Interpersonal relationship abilities must be highly refined with negotiation and problem solving skills at a very high level.
Must possess strong clinical assessment and process skills.
Critical thinking skills must be demonstrated in all situations.
Ability to make independent decisions when circumstances warrant.
Knowledge of regulatory standards and compliance requirements.
Strong organizational, prioritizing and analytical skills.
Working knowledge of computer and software applications used in job functions.
Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.
Qualifications:
Per Federal Health Care Worker Vaccine Requirements, all employees must be fully vaccinated against COVID-19 or be approved for a valid religious or medical exemption.
Anyone hired by the company must provide proof of their COVID-19 vaccine before they can begin employment or request and be approved for a valid religious or medical exemption.
At Summa Rehab Hospital, employees are our priority.
We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members in the greater Northeast Ohio area.
Below is a brief summary of our benefits.
Medical coverage with prescription plan Dental and Vision coverage Work life balance generous PTO plan Life insurance Short- and Long-Term Disability EAP Flex plans 401K matching Pet insurance Group legal provides legal assistance with personal legal matters Tuition reimbursementAt Summa Rehab, our patients are family.
Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe.
Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside.
Recommended Skills Analytical Assertive Care Coordination Case Management Certified Rehabilitation Registered Nurse Clinical Works Estimated Salary: $20 to $28 per hour based on qualifications.
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