Care Management Assistant

Care Management Assistant

Location: WellSpan Health, Chambersburg, PA

Schedule: Full Time

Sign-On Bonus Eligible

Remote/Hybrid

Regular

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Schedule

Full-time: 40hrs/week

Hours: 8am - 4:30pm

General Summary

Performs a variety of duties related to facilitating the discharge planning process. Assists the Care Management team with the clerical functions. All tasks listed below may be expected in assigned daily work.

Duties and Responsibilities

Essential Functions

• Assists with clerical functions (e.g., filing, copying, scanning, emailing, telephone, taking minutes)

• Determines patient health insurance benefit information as requested by CMRN/CMSW.

• Reviews payor logs and enters authorization information into EMR/patient record.

• Receives denial information and records in EMR/patient record; forwarding same to assigned CMRN.

• Initiates SNF authorizations as requested by CMSW/CMRN; followed by documentation of payor determination in EMR/patient record.

• Completes discharge notification to varied insurance payors.

• Assists CM team with IMM notices to patient.

• Assists with medication pricing as requested by CMRN/CMSW.

• Coordinates after care issues with the appropriate team members.

• Supports the CM team by coordinating follow up PCP appointments.

• Compiles data for and prepares regularly scheduled or special reports, analysis, and statements.

• Reviews daily patient discharge list, routes incomplete VNA orders, identifies incomplete auth information, reviews final disposition Epic navigator for accuracy and completeness.

• Works and maintains Incomplete Auth work queue; obtains delinquent authorizations and records in EMR.

Common Expectations

• Maintains Downtime computer terminal/ associated logs.

• Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.

• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Required for All Jobs

• Performs other related duties as identified.

• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.

• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands

• Standing - Occasionally

• Walking - Occasionally

• Sitting - Frequently

• Reaching - Rarely

• Talking - Frequently

• Hearing - Frequently

• Repetitive Motions - Occasionally

• Eye/Hand/Foot Coordination - Occasionally

Qualifications

Minimum Education

• High School Diploma or GED Required

Work Experience

• 2 years Relevant experience. Required

Licenses

• Basic Life Support Upon Hire Required

Knowledge, Skills, and Abilities:

• Basic computer skills.

• Telephone etiquette.

• Good communication skills.

• Medical terminology preferred.

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You're unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email ~~~. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.