Case Management Regulatory Clerk - Case Mgmt (Full-Time, Days)

ENL Case Management

Compensation range : 20.29 - $25.97

Your rate of pay will be based on applicable experience

Shift : Days Shift length : 8 Hours

Days off : Fixed If fixed, days off : Saturday & Sunday

Hours per pay period : 80

POSITION SUMMARY :

The Case Management Regulatory Clerk (CMRC) functions as a member of the Case Management department. The primary role of the CMRC will be to support Case Management specific compliance with Centers for Medicare and Medicaid Service (CMS) (including Condition of Participation) and Joint Commission in completing the following clerical tasks : One, as per CMS, ensure timely, accurate delivery and documentation of the Admission and Discharge Important Message from Medicare (IMM) letter to all inpatient Medicare and Medicare Advantage Beneficiaries. Two, as per CMS, ensure timely, accurate delivery and documentation of the Medicare Outpatient Observation Notice (MOON) to all outpatient Medicare and Medicare Advantage Beneficiaries. Three, support the CMS hospital Conditions of Participation (CoP) and the Joint Commission requirements that hospitals address regarding patient decisions about care, treatment, and services received at the end of life or if incapacitated by patient screening. The CMRC will possess strong knowledge of regulatory compliance related to delivery of IMM letters, MOONs. and screening for Advanced Directives. In addition, the CMRC will support other Case Management (CM) compliance related matters such as audits for patient choice and timely CM patient assessments. Finally The CMRA will support the clerical needs of the department such as maintaining the department phone line, faxing, emailing, data collection, file management, photocopying, and support the Case Management Assistant (CMA) with any outstanding clerical / regulatory duties.

EDUCATION / TRAINING / EXPERIENCE :

Minimum :

• Two-year computer experience including Microsoft Office.
• One-year experience in health care / medical setting OR 2-year degree in human service or healthcare related field
• One-year experience working in an office environment performing general clerical duties to include data collection, data entry, typing, customer relations and filing.
• One year experience in a customer service role

Desired :

Licenses and Certifications

SKILLS / KNOWLEDGE / ABILITIES :

Must have working knowledge of medical terminology. Demonstrates strong skills in confidentiality and maintain all protected patient information in strict confidence. The CMRA must demonstrate positive, professional, and effective interpersonal relations with patients, public, physicians, and staff and demonstrate the ability to work in a multidisciplinary team environment. The CMRA must demonstrate the ability to communicate with patients and families during time of emotional and physical stress. Must have excellent analytical, grammatical, punctuation, spelling, and formatting skills as are necessary to communicate effectively, both verbally and in writing. Must be self-motivated, flexible, and detail oriented. Demonstrates knowledge of regulatory requirements as outlined by the Centers for Medicare and Medicaid Service (CMS). The CMRC must demonstrate high ethical standards. Must be able to fulfill the essential functions of the position.

Enloe offers a comprehensive and competitive benefits program to all eligible employees, including medical, vision, RX and dental group insurance, retirement with employer match, paid time off (PTO), and an employee assistance program. Please visit the employee benefits page www.enloe.org / benefits to get more in-depth benefits and coverage information or email recruiter@enloe.org to receive a full summary of our benefits.

Salary : $20 - $26