Inpatient Case Management Authorization Technician

Sentara Hospitals • Virginia Beach, VA

8d

About The Position

Sentara Health Corporate Office is hiring an Inpatient Case Management Authorization Technician to work full-time/day shift. The Inpatient Case Management Authorization Technician provides assistance to the Inpatient Case Management team under the direction of the ICM RN/MSW, or other team member to coordinate referrals for the purpose of expediting care. Delivers compliance documents or other patient documents Acts as an extension of the ICM RN/MSW, or AA to facilitate referrals, calls for the purpose of expediting patient care to include pre-authorizations when appropriate. Delivers Durable Medical Equipment to the patient or caregiver under the direction of the ICM RN/MSW, or AA Facilitates data entry, patient signature, and processing of LTSS screenings Contacts insurance companies to identify in-network agencies to support patient post-acute needs Gathers, takes action on, and maintains Case Management documentation such as referrals, admissions, orders, and schedules. Participate Gathers Quality Improvement (QI) and department Performance Improvement (PI) data. Provides administrative back-up and main office support as requested

Requirements

• Strong written and verbal communication skills required

Nice To Haves

• Medical terminology knowledge and insurance/payor experience preferred

Responsibilities

• coordinate referrals for the purpose of expediting care
• Deliver compliance documents or other patient documents
• facilitate referrals, calls for the purpose of expediting patient care to include pre-authorizations when appropriate
• Deliver Durable Medical Equipment to the patient or caregiver
• Facilitate data entry, patient signature, and processing of LTSS screenings
• Contact insurance companies to identify in-network agencies to support patient post-acute needs
• Gather, take action on, and maintain Case Management documentation such as referrals, admissions, orders, and schedules
• Gather Quality Improvement (QI) and department Performance Improvement (PI) data
• Provide administrative back-up and main office support as requested

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met

What This Job Offers

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