Will this position be required to work onsite for any reason at any time? Yes, training will be on-site, and then no onsite requirement after.

• High School Graduate or GED equivalent required. Two (2) years of college preferred.
• Two (2) years experience as a medical assistant, care technician, post-acute care, and home health care support staff or ancillary services in other healthcare-related fields preferred.
• Knowledge of post-acute care functions and processes or discharge readiness activities may be preferred for some positions.

These roles will support various activities for the team, not limited to reviewing Medicare appeals, scheduling peer reviews of UM work, calls with providers about the new program, and scheduling follow-up visits with providers.

1. Support providers and UM reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests into Care Management systems, following rules and algorithms embedded in the care management system to administratively approve prior authorization requests.
2. May work with providers to secure discharge plans, Notice of Non-Medical Coverage, Durable medical equipment, and other home supports required for discharge planning.
3. May support scheduling physician-to-physician calls.
4. Will support appeal processes for CMS designated Quality Improvement Organization appeals including logging all appeal activities.