Care Management Coordinator
About The Position
Ensures that timely, accurate and complete data is submitted to appropriate insurance companies to guarantee prompt payments to Corewell 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. As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.
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
- 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 Corewell Health (CH) 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.
- Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.
- Performs other duties as assigned.
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
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
