Case Coordinator Discharge Planner

Springhill Medical Health Systems • Mobile, AL

11h • Onsite

About The Position

Responsible for influencing positive clinical and financial outcomes of a designated caseload of patients. Responsible for timely entry, follow-up and management of appeals according to payer rules. Writes appeal letters addressing the reason for denial with clinical data to support appeal. Communicates with all parties involved in the denial process, including but not limited to, BO, Case Management, Payers, HIM.

Requirements

• Applicant must be an LPN/RN or Social Worker.
• Graduate from an accredited school of nursing or social work.
• LPN or RN license required.
• Current licensure in the State of Alabama required.
• Minimum of one year of Case Management and/or Discharge Planning experience required.
• Clinical nursing experience.
• Must demonstrate critical thinking skills and decision-making ability.
• Demonstrates the ability to carry out detailed written or verbal instructions independently.
• Working Knowledge of Microsoft Office (Word, Excel, and PowerPoint).

Nice To Haves

• Bachelors of Science in Nursing preferred.

Responsibilities

• Influencing positive clinical and financial outcomes of a designated caseload of patients.
• Timely entry, follow-up and management of appeals according to payer rules.
• Writing appeal letters addressing the reason for denial with clinical data to support appeal.
• Communicating with all parties involved in the denial process, including but not limited to, BO, Case Management, Payers, HIM.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree