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46 Case Management Assistant - Case Management - Full Time/Days - Req# 1996803760 Jobs in Lancaster, CA

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Case Management Assistant - Case Management - Full Time/Days - Req# 1996803760
$87k-117k (estimate)
Full Time | Hospital 6 Days Ago
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Antelope Valley Hospital is Hiring a Case Management Assistant - Case Management - Full Time/Days - Req# 1996803760 Near Lancaster, CA

Job Objective:

Under the direction of the Director of Case Management, or designee, the Case Management Assistant supports the functions of the Patient Care Coordination department by performing a wide variety of administrative duties.

Essential Duties and Responsibilities:

A. Case Management Assistance

  • Facilitates communication to department team members from internal and external sources by coordinating telephone calls and messages
  • Utilizes and documents in the computer systems to facilitate case management workflow and communication
  • Monitors computer system for admission and continued stay insurance authorizations notifying the Case Manager when a clinical update is needed
  • Submits clinical reviews to appropriate review agencies and documents in the computer system
  • Follows up with review agency for authorized days and documents in the computer system
  • Coordinates the retroactive utilization process by tracking accounts needing reviews, ordering medical records, submitting completed reviews and documenting authorizations or denials
  • Coordinates the insurance authorization process with appropriate hospital departments.
  • Assists with referrals to other facilities, home health agencies, and DME agencies
  • Arranges ambulance, as well as other forms of medical and taxi transportation
  • Provides support to the discharge coordination process

B. Clerical Duties

  • Answers telephone calls and greets customers in the department with the highest level of customer service
  • Provides taxi vouchers
  • Coordinates mailing of department documentation
  • Assists the department director with payroll reporting and processing
  • Establishes and maintains an accurate detailed record for the department billing and payment of vendor claims
  • Prepares and records department check requests and purchase orders
  • Efficiently and cost effectively orders and organizes office supplies
  • Prepares letter, memos, and other documents
  • Assists with scheduling of meetings and provides clerical support as needed
  • Sorts and distributes office mail
  • Maintains department patient information files
  • Maintains department records for regulatory compliance purposes as indicated.
  • Other duties as assigned within skill sets and abilities.

Non-Essential Duties:

    Assist with other duties as assigned, within skill sets and abilities

Knowledge, Skills and Abilities:

Knowledge

    Familiar with Government, State, HMO, PPO, Commercial, and Workers Compensation authorization and billing guidelines
    Working knowledge of Microsoft Office applications
    Knowledge of medical terminology

Skills

    Knowledge of basic personal computers
    Proficient in the operation of scanners, copiers, fax machines Good oral and written communication skills Good interpersonal skills and customer focus
Abilities
    Ability to handle stress
    Ability to manage a heavy caseload in an organized and efficient manner
    Ability to maintain a working relationship with other departments within the organization
    Ability to document account information at time of account follow-up
    Ability to run case management related reports as needed

Core Competencies: All AVH employees will effectively demonstrate these behaviors:

Accountability

Action Oriented

Customer Focused

Compassion

Effective Communication

Teamwork

Ethics & Values

Integrity & Trust

Education and Experience: Education

    High School graduate or equivalent

Experience

    Minimum 2-years healthcare related office experience, preferably in an acute care setting

Required Licensure and/or Certifications:

    None

AVH Conduct/Compliance Expectations:

    Ability to adhere with AVH Leaves of Absence Policy
    Ability to adhere with AVH Paid Time Off (PTO) Policy
    Ability to adhere with AVH Recording of Hours Worked Policy
    Ability to adhere to the department dress code
    Ability to organize work and establish priorities
    Ability to expand on own initiative in performance of duties
    Skill and ability to follow the telephone etiquette/standards
    Conforms to AVH Standards of Excellence
    Ability to function effectively under pressure and meet time parameters
    Ability to communicate effectively while maintaining good working relationships with coworkers, managers and other hospital staff
    Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH
    Ability to maintain the confidentiality of patient, hospital and department information
    Ability to adhere to safety rules and regulations
    Safely and effectively uses all equipment necessary to carry out duties
    Ability to interpret and function under hospital and department policies and procedures
    Conforms with required and appropriate Joint Commission requirements
    Conforms with and supports hospital quality assurance and improvement guidelines
    Ability to participate effectively in department and hospital staff education
    Display a willingness to work as a team player
    Ability to give and support the highest level of patient/customer satisfaction at all times
    Supports and adheres to the values and mission statement established by the AVH Board of Directors

Ability to demonstrate knowledge and understanding of Corporate Compliance rules and regulations, complies with duty to report behavior standard, demonstrates understanding of purpose for Corporate Compliance hotline and importance of seeking guidance from a supervisor when in doubt regarding a possible corporate compliance issue

Key Physical Requirements and Working Conditions:

    Primarily works in a climate-controlled area
    Sitting 80% of time on duty
    Tolerate repetitive arm and hand movements

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Education:

    High School graduate or equivalent

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$87k-117k (estimate)

POST DATE

06/22/2024

EXPIRATION DATE

08/24/2024

WEBSITE

avhospital.org

HEADQUARTERS

LANCASTER, CA

SIZE

1,000 - 3,000

FOUNDED

1955

TYPE

NGO/NPO/NFP/Organization/Association

CEO

EDWARD MIRZABEGIAN

REVENUE

$200M - $500M

INDUSTRY

Hospital

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About Antelope Valley Hospital

AVH provides personal, acute care and emergency health care services for cancer patients and pregnant women.

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