What are the responsibilities and job description for the Care Management Resource Center Specialist position at Cleveland Clinic?
Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
The Care Management Resource Center receives and appropriately addresses all requests from the TCC/SW to ensure transitions of care are facilitated in a timely manner. As a Center Specialist, your responsibilities often include initiating the post-acute pre-certification process with facilities and insurance companies, making referrals to post-acute agencies and documenting the details of the discharge transition plan.
A caregiver in this position works remotely from 9:00AM – 5:30PM, with onsite training and monthly onsite meetings requirements.
A caregiver who excels in this role will:
- Support the Transitional Care Coordinator and Inpatient Social Worker with specified non-clinical work.
- Initiate contact with payers to facilitate precertification for transfer to post-acute facilities, provide clinical documentation and ensure timely follow up calls.
- Initiate contact with post-acute agencies, provide updates as requested and facilitate placement.
- Facilitate 7000 forms by Healthcare Electronic Notification System (HENS).
- Place and close referrals in AllScripts Care Management.
- Handle calls from commercial payor case managers with questions regarding admitted patient’s discharge plans.
- Manage post-acute pre-cert process for commercial insurance patients needing pre-cert to post-acute facilities.
- Provide necessary verbal and electronic communication to and from care management staff, serving as a liaison between hospital personnel and the various agencies.
- Serve as a central hub communicator for discharge plan information.
- Completes data tracking and collection to assist with the identification of routine statistics and problems or trends.
Minimum qualifications for the ideal future caregiver include:
- High School Diploma or GED
- Three to five years of current administrative/clerical experience working in healthcare or a related field
- Fluency in medical terminology
- Computer literacy
Excellent verbal and written communication and organization skills
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
Physical Requirements:
- Ability to perform work in a stationary position for extended periods
- Ability to operate a computer and other office equipment
- Ability to communicate and exchange accurate information
Personal Protective Equipment:
- Follows Standard Precautions using personal protective equipment as required.
Pay Range
Minimum hourly: $16.47
Maximum hourly: $23.61
The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.
Salary : $1,000 - $1,000,000
