Case Management Specialist, PRN

INOVA CmbH • Falls Church, VA

300d

About The Position

Inova Fairfax Medical Campus is looking for a dedicated Case Management Specialist to join our team. This role will be PRN. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Requirements

• High School diploma or equivalent.
• 2 years of relevant experience.

Responsibilities

• Coordinates and performs administrative activities to support the Case Management department.
• Participates in the annual and ongoing budget processes.
• Arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others.
• Communicates and documents accurate clinical/financial information in both verbal and written forms.
• Delivers and documents delivery of regulatory forms such as the mandated Observation letter and the Medicare IMM notifications.
• Receives and documents benefit and contract level requirements.
• Conducts timely arrangements of services to meet customer requirements.
• Addresses and solves provider and payor issues quickly with support from Case Management staff.
• Distributes and documents delivery of mandated Observation and Medicare IMM/HINN letters as directed.
• Communicates financial and clinical information to clinicians, patients, families, care team members and external customers.
• Documents clinical and financial patient information to assist with discharge planning and access to continuing care services.
• Communicates with payor and documents detailed instructions on billing, authorization and utilization of services.
• Completes state and federal forms related to patient level of care according to regulatory standards.
• Manages and maintains state required UAI filings and all accounts receivable/payable functions for the department.
• Maintains and monitors the system Case Management program including reimbursement of all negotiated vendor contracts.
• Provides support to the strategic planning and business development initiatives of the department.
• Reviews and approves time/attendance for department staff on a biweekly basis.
• Maintains records of all system Case Management files and acts as liaison to Foundation, auxiliary and external vendors.
• Assists in monitoring the operational budget in collaboration with department Director.
• Tracks and monitors accounting for budgets, capital requests, travel funds and business expenses.

Benefits

• Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Industry: Furniture and Related Product Manufacturing
• Education Level: High school or GED