Case Management Coordinator

Conifer Health Solutions • Glendale, AZ

1d

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

Requirements

• Two years Health Care experience
• High School Diploma
• Communication
• care coordination
• teaching
• proficient in Microsoft Office

Nice To Haves

• Associate or Bachelors Degree

Responsibilities

• Under the direction of the RN Case Manager or Social Work staff, executes the discharge plan for patients with post-acute needs completing timely and accurate arrangements for the patient for discharge and/or transfer from the facility.
• Integrates knowledge of patient's insurance benefits and eligibility when coordinating post acute needs.
• Verifies benefit coverage and works closely with payers to obtain authorization for discharge medications and post-acute service providers, i.e SNF, HHA, DME etc.
• Explains post acute choices to patients/families and communicates referral requests using Curaspan system for all referrals.
• Assures all required documentation is sent to the receiving facility for discharges or transfers.
• Documents all work in Midas Case Management system and prints discharge planning notes at least daily for patient charts.
• Other related job tasks or responsibilities as assigned.

What This Job Offers

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