Case Management Coordinator

Tenet Healthcare Corporation • Glendale, AZ

1d • Onsite

About The Position

The Case Management Coordinator is responsible for all discharge plan executions prepared and documented by the RN Case Manager or Social Worker. Is responsible for discharge arrangements and/or transfer from the facility. Works in collaboration with the RN Case Manager and Social Worker to prepare patient and family for pending discharge to appropriate care settings. Uses post acute referral system for all patient placements and documents choices offered to patients. Assures all required documentation is forwarded to the receiving facility for discharges or transfers. Receives, organizes and prioritizes all insurance requests, entering certifications and authorizations in the appropriate MIDAS screens. Closes out discharged cases, reviewing MIDAS to ensure admission reviews are complete, appropriate certifications are entered and discharge destinations are completed. Initiates follow-up calls for Transfer DRG’s or conditions. Coordinates with the Case Manager to assure that the "Medicare Important Message" was delivered according to CMS regulations/hospital policy.

Requirements

• Must have experience with post acute referral system.
• Must have experience with MIDAS screens.
• Must be familiar with CMS regulations/hospital policy regarding the "Medicare Important Message".

Responsibilities

• Responsible for all discharge plan executions prepared and documented by the RN Case Manager or Social Worker.
• Responsible for discharge arrangements and/or transfer from the facility.
• Works in collaboration with the RN Case Manager and Social Worker to prepare patient and family for pending discharge to appropriate care settings.
• Uses post acute referral system for all patient placements and documents choices offered to patients.
• Assures all required documentation is forwarded to the receiving facility for discharges or transfers.
• Receives, organizes and prioritizes all insurance requests, entering certifications and authorizations in the appropriate MIDAS screens.
• Closes out discharged cases, reviewing MIDAS to ensure admission reviews are complete, appropriate certifications are entered and discharge destinations are completed.
• Initiates follow-up calls for Transfer DRG’s or conditions.
• Coordinates with the Case Manager to assure that the "Medicare Important Message" was delivered according to CMS regulations/hospital policy.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed