Morrisville, North Carolina
Michigan
Posted: 11-Nov-24
Location: Castle Rock, Colorado
Salary: Open
Categories:
Internal Number: 24026787
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind, and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Part-time
Shift: Days
Location: 2350 MEADOWS BLVD, Castle Rock, 80109
The role you’ll contribute:
The Care Management Assistant (CMA) is responsible for implementing patient discharge plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations are secured and documented as a support function for Care Management and Care Coordination staff. Interacts with representatives from insurance companies, managed care organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies as required. Responsible for assisting in coordinating care and services for assigned patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family. The CMA establishes a general working knowledge of payer-specific documentation and authorization requirements, and regulatory requirements regarding the clinical review process, provision of services, and post discharge services. Ensures discharge arrangements are in compliance with payer requirements, and regulatory guidelines. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The value you’ll bring to the team:
- Implements patient discharge plans prepared by RN Care Manager and/or Social Worker team members.
- Contacts third-party payers to obtain and/or confirm authorization for services and communicates necessary related clinical information, when required.
- Assists Care Manager/Care Coordination department in collecting data related to patient-care outcomes and auditing data for accuracy.
- Prepares documents and reports required data for clinical reviews and discharge plans for third-party payers and other internal and/or external groups.
The expertise and experiences you’ll need to succeed:
- 0 years experience.
