Case Management Specialist

Inova • Fairfax, VA

22h

About The Position

Inova Fair Oaks Hospital is looking for a dedicated Case Management Specialist
to join the team. This role will be Full-Time, Day Shift, Monday – Friday, 10-hour shift (8:00 a.m.- 6:30 p.m or 8-hour shift (8:00 a.m. - 4:30 p.m.), some weekends and holidays rotation required.

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 or GED
• 2 years of relevant experience

Nice To Haves

• Administrative/clerical experience in healthcare

Responsibilities

• Conducts timely arrangements of services to meet customer requirements.
• Addresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned.
• 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 in order 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, in order to assist with patient transition.
• Manages and maintains state required UAI filings as well as all accounts receivable/payable functions for the department to ensure timely payments.
• 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. Performs periodic reviews to track employee time and attendance for department leadership. Submits any identified time/pay adjustments to Payroll in a timely manner.
• 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, related to funds disbursement and reconciliation.
• Tracks and monitors accounting for budgets, capital requests, travel funds and business expenses.
• Performs additional duties as assigned.

Benefits

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
• 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.
• Work/Life Balance: offering paid time off, paid parental leave

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees