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ADMINISTRATIVE ASSISTANT/UM SPECIALIST - CARE MANAGEMENT

Glens Falls Hospital
New York, NY Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 6/2/2025

The Impact You Can Make

Team Impact

Reports to the Director of Case Management as well as other members of the Case Management Leadership team and the Utilization Management team. This dual position is responsible for ensuring productive and efficient day to day operations by providing extensive administrative support to the Case Management Department. The Utilization Specialist will ensure the coordination of activities with the Utilization Management Department. Primary responsibility is for support of payor materials, fiscal monitoring, and analysis of trends that require actions.

The Administrative Assistant / UM Specialist must be able to handle a high-volume workflow and should be able to answer various questions from co-workers and patients regarding the operation of the department.

The Glens Falls Hospital Impact

Mission

Our Mission is to improve the health of people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting.

How You Will Fulfill Your Potential

Responsibilities

  • Receive and screen visitors and telephone calls; provide information and resolve routine issues exhibiting good judgement and sound understanding of policy and procedures.
  • Oversee daily coordination of Utilization Management Office activities. Communicate information to the appropriate staff / department / payor within the established guidelines
  • Organize meetings by notifying participants, making room arrangements, preparing agendas, and required informational material. Attend meetings and prepares minutes.
  • Coordinate, track and follow up on all correspondence regarding DRG rebuttals, cost outliers, quality issues and appeals, utilization management concerns, HINNS and audit requests

Qualifications

Education / Accredited Programs

  • High School Diploma
  • At least 10 years of healthcare office experience
  • Excellent customer service experience
  • Licenses / Certifications / Registrations

  • NYS License to operate a Motor Vehicle
  • Skills / Abilities

  • Knowledge of procedures and data flow in a healthcare organization
  • Understanding of computer systems, as well as knowledge of computer programs such as Word and Excel,
  • Excellent verbal and written communication skills
  • Ability to balance multiple priorities and meet deadlines without supervision
  • Excellent organization and time management skills
  • Exhibit respect for GFH and Case Management's culture and many accomplishments
  • Communities We Serve

    Located in the foothills of the beautiful Adirondack mountains, Glens Falls is conveniently located a short drive away from the capital region and Lake George. Work at the top of your profession and jumpstart your next career here at Glens Falls Hospital!

    All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and / or other status protected under law.

    Salary Range

    The expected base rate for this Glens Falls, New York, United States-based position is $18.91 to $28.37 per hour. Exact rate is determined on a case-by-case basis commensurate with experience level, as well as education and certifications pertaining to each position which may be above the listed job requirements.

    Benefits

    Glens Falls Hospital is committed to providing our people with valuable and competitive benefits offerings, as it is a core part of providing a strong overall employee experience. A summary of these offerings, which are available to active, full-time and part-time employees who work at least 30 hours per week, can be found here .

    Salary : $19 - $28

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