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Department: Case Management
Hours per pay period: 80
Schedule: Day Shift
Position Summary: Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing clerical functions to ensure the efficient operation of the ICM department.
Essential Functions and Responsibilities as Assigned:
1. Assists with facilitating discharge planning to expedite a successful transition of care.
2. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.
3. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
4. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
5. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.
6. Communicates pertinent documentation to nursing and homecare facilities to expedite patient discharges for assigned patients.
7. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
8. Attends meetings and prepares agendas and minutes.
9. Handles incoming and outgoing office correspondence; answers and directs department phone calls as needed.
10. Performs general office duties including faxing, copying, scanning and filing. Orders department supplies.
11. Tracks and communicates bed availability at area extended care and rehab facilities.
12. Communicates with internal and external customers to answer questions.
13. Troubleshoots problems that arise with office equipment. Notifies leadership of unresolved issues.
14. Performs other related duties as required and directed.
Required
· Associate degree in healthcare-related field
· Two years of clerical experience
· One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology
· Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)
Preferred:
· Bachelor's degree in coding/medical records/billing or UM
· Two years of case management or utilization review experience
· Three years of recent experience doing third party payer certification
Additional InformationFull Time
Ambulatory Healthcare Services
$71k-91k (estimate)
05/18/2024
07/14/2024
mclaren.org
DEWITT, MI
7,500 - 15,000
1914
$200M - $500M
Ambulatory Healthcare Services
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $6 billion (budget FY21), fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 15 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a 490-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering approximately 640,000 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malp...ractice insurance company. McLaren operates Michigans largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S. As part of its Graduate Medical Education (GME) program, McLaren maintains academic affiliations with medical schools at Wayne State University, Michigan State University and Central Medical University. McLarens six (6) GME campuses offer 27 residencies and eight (8) fellowship programs that train over 650 future physicians annually. All GME programs at McLaren are overseen and managed centrally by the Department of Academic Affairs.
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