Case Management Assistant, Inpatient Rehabilitation

Lifepoint Health • Jacksonville, FL

1d • Onsite

About The Position

North Florida Rehabilitation Hospital is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Management Assistant joining our team, you’re embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

Requirements

• Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department.
• Proficient with WORD and EXCEL software, keyboard typing, and general office equipment.

Nice To Haves

• College degree in healthcare related field preferred
• LPN or social work degree preferred but not required

Responsibilities

• Provides assistance to the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team.
• Assists the case management team in scheduling family conferences.
• Assists the case management team by making necessary arrangements for post-discharge follow up care.
• Functions as the point of contact and liaison for the hospital Case Management Department staff regarding clinical insurance review completion and/or issues.
• Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews.
• Monitors, follow-up, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel [hospital staff, physician, DCM, Case Manager, Clinical Denial Management, and Centralized Business Office (CBO)].
• Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Lead CM/DQ and Case Manager.
• Organizes and prepares the necessary clerical elements for the weekly Interdisciplinary Team Meeting to function timely and efficiently.
• Enter DME needs per order sheet specifications.
• Prepare Discharge IMM for delivery.
• Deliver Advance Directive packets.
• Assist with Rehab tracker sign ups.
• Ability to maintain confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
• Ability to interface on all levels of the organization by demonstrating excellent interpersonal skills.
• Ability to communicate effectively, both in writing and verbally.
• Ability to work cooperatively and collaboratively as a member of a team.
• Ability to work under stress and to respond quickly in emergency situations.
• Must have good and regular attendance.
• Performs other related duties as assigned.

Benefits

• Multiple levels of medical, dental and vision coverage — with medical plans starting at just $10 per pay period — tailored benefit options for part-time and PRN employees, and more.
• Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
• Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
• Ongoing learning and career advancement opportunities.

What This Job Offers

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