Care Management Assistant HHC

Department: 11200 IL Home Health Divisional - Case Management Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: hybrid, in the office once per week, Mon-Friday 830-5 Major Responsibilities: Monitor Task Report, respond to request from billing, insurance verification and service office. 1)Obtain documentation for Prior Approval Request on patients with HFS insurance. 2)Contact Clinical Manager on any urgent issues or patients were documentation does not support projected number of visits. Track clinical updates for timely submission of written documentation to Enterprise Care Managers (ECM) 1)Identify ECM through Active Advice 2)Submit appropriate documentation to ECM upon patient discharge from Home Health. 3)Submit additional documentation upon request to ECM for AdvocateCare patient population. Verification of authorized visits versus visits made and visit frequency on specified payers. Reporting of final visit numbers to external case manager. 1)At specified times (i.e. discharge and recertification), review and match actual visits to authorized visits, coummunicate visit summary to external case manager. 2)Notify internal Case Manager of any discrepanies. Obtain Plan of Treatment and/or Supplemental Orders to support request for Prior Approval on patients with HFS health plan. 1)Track supplemental orders to obtain prior authorization from HFS on ALL therapies. Communicate authorized visits to contracted vendors on HFS patients. Monitor contracted therapy vendors for over utlization and unauthorized services. Other Duties as assigned 1)Assist Case Managers with documentation process as needed This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Pay Range $18.50 - $30.60 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care

Salary : $6