Care Management Technician II, Full-Time Days

Orlando Health • Clermont, FL

4d • Onsite

About The Position

Orlando Health South Lake Hospital is a comprehensive medical and surgical acute care facility serving the residents of Lake County as a trusted member of the community for over 75 years. Conveniently located in Clermont, the hospital’s dedicated team of physicians, nurses, clinicians and medical professionals is committed to delivering expert and compassionate care. The Care Management Technician is focused on supporting the care management team in achieving the department goals and objectives of patient transition/throughout.

Requirements

• High school diploma/GED
• Solid computer skills, including proficiency with Microsoft software.
• Demonstrated proficiency in communicating sensitive complex information to persons in a hospital environment.
• Demonstrates the ability to work independently and execute their own workload.
• Critical thinking ability necessary to prioritize workload to ensure tasks are completed in a timely manner and within established timeframe.
• Interpersonal skills necessary to facilitate interpersonal communication with team members, department staff, and external personnel, interact with patients/families, and perform other activities requiring courtesy and tact.
• Two years’ experience in post-acute insurance authorization.

Nice To Haves

• Candidates with discharge planning within hospital-based case management are strongly preferred for the role.

Responsibilities

• Maintains reasonably regular, punctual attendance consistent with Orlando health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando health policies and procedures.
• Develops collaborative relationships with hospitals, physicians, community organizations, team members, post-acute facilities and other referral sources.
• Verifies insurance coverage and obtains authorization
• Maintains authorization log
• Facilitates peer to peers for escalations for authorizations between facilities.
• Works with IT to refine post-acute authorization processes and polices for the organization
• Documents authorization workflows and best practices
• Monitor and obtain updates for authorization requests initiated by post-acute care facilities
• Assists with other Care Management requests as needed, including, but not limited to, patient assessments, delivery of regulatory notices and arranging patient transportation.
• Performs all other duties as assigned.

Benefits

• Competitive Pay
• Evening, nights, and weekend shift differentials offered for qualifying positions.
• All Inclusive Benefits (start day one)
• Student loan repayment
• tuition reimbursement
• FREE college education programs
• retirement savings
• paid paternity leave
• fertility benefits
• back up elder and childcare
• pet insurance
• PTO/Holidays
• and more for full time and part time employees.

What This Job Offers

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