Care Management Coordinator

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

Advance Care Planning Care Management Coordinator (ACP CMC) at Butterworth hospital works with patients and their families to complete Advance Care Planning documents. ACP CMC works with the care team to help patients meet their goals before discharge. Right in the heart of Grand Rapids, you’ll find a nationally recognized hospital for patient quality and safety and the regional leader in full-service hospitals. Since 1873, we have been growing and building a reputation of excellence in care, diagnostics, treatment, prevention and education. It is the flagship hospital for Corewell Health Grand Rapids Hospitals.

Requirements

• High school diploma or equivalent
• 2 years of relevant experience, related work in a clinical office or health insurance setting.

Nice To Haves

• Associate’s degree

Responsibilities

• Ensures that timely, accurate and complete data is submitted to appropriate insurance companies to guarantee prompt payments to Spectrum Health.
• Communicates and collaborates with the multidisciplinary team through verbal and written communication.
• Participates with Care Team for the integration of the patient to the home or transitional environment by developing, planning, implementing and evaluating in accordance with current existing federal, state and local standards.
• Adheres to confidentiality policies specific to communications, patient confidentiality, record keeping and coordination services.
• Serves as the liaison between the facility and all surgeons performing metabolic and bariatric surgery at the center, if applicable, all general surgeons providing call coverage.
• Inputs data from various sources (insurance companies, admissions, certification, and other hospitals) into Care Management discharge planning software and insures communication to members of Care Team.
• Processes and prepares clinical reviews completed by Care Management Department (CMD) employees for confidential transmission to third party payers.
• Maintains ongoing communication between Spectrum Health (SH) and third party payers related to the number of hospital days authorized, additional requests for clinical information, anticipated discharge needs, etc.
• Supports specific third party payers by obtaining authorization for services; providing accurate & timely admission/discharge dates; updating CMD and CH employees on any demographic changes; problem solving issues/concerns third party payer may have.
• Reports reviews needed to case manager.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED