Inpatient Care Management Assistant
Intermountain Healthcare
- Utah
- Permanent
- Part-time
- Non licensed pay range: $19.08-$29.04 Non Exempt
- Pay Range SSW: $27.60-$42.57 Exempt
- Pay Range LPN: $25.08-$38.71 Exempt
- Benefits Eligible: No
- FTE: PRN
- Shift: Three, 8 hour shifts per week, combination of weekdays, weekends and holidays, 8:30-5:00pm
- Serves as the primary contact with payers, receiving and prioritizing requests and sending clinical information for authorization of services based on contractual requirements.
- Promptly communicates utilization review needs, days authorized, denials, and other communication from the payers to care managers and physician advisors.
- Collaborates with the revenue cycle staff and others to research payment sources.
- Maintains a current list of contractual requirements and contact information by payer (as communicated by payer contracting). Promptly distributes new information and communicates changes to care management staff and leaders.
- Requests and retrieves medical records from the Health Information Management for retrospective utilization or quality assurance review.
- Delivers routine regulatory notices to patients in the required timeframe (i.e. 'Follow-Up Important Message from Medicare' at least one day before the patient's expected discharge date).
- Performs a variety of specific clerical tasks to support care management services (i.e. prepares and prints reports; prioritizes and schedules appointments; distributes and/or communicates requests; retrieves phone; fax, email, and other messages and/or mail; scans and copies documents as needed).
- Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
- Supports a compliant patient choice process by ensuring online provider lists are current in all systems, distributes provider list to patients/families as instructed, prior to patient choice consult performed by the care manager/social worker.
- Provides support for transition planning (i.e. prepares transfer packets for transition to post-acute/community-based facility or services; ensures resources and documents are routinely updated in the Integrated Care Management website; arranges transportation, confirms arrangements; communicates with the patient/family and next service providers).
- Consistently documents all communication, actions, and information.
- Promptly reports issues and concerns to the departmental chain-of-command.
- Assists with special programs including data collection for process improvement projects.
- Two years of healthcare experience.
- Advanced computer skills (i.e. developing spreadsheets, creating charts and graphs, word processing, process flows, complex formatting, data manipulation, creating and running reports, creating presentations, and using multimedia content).
- Two years of experience working in an office setting, working in a clerical position with keyboarding and data entry responsibilities, or working in customer service.
- Experience coordinating projects.
- Demonstrated interpersonal verbal and written communication skills including being proficient in spelling, punctuation, grammar, and other English language skills.
- Demonstrated basic math skills.
- LPN or SSW licensure
- College courses related to healthcare, business, and/or or computer/information systems.
- 2 years of experience working in a clinical healthcare setting.
- Medical terminology experience.
- Medical; transcription experience.
- Leadership experience (i.e. providing training to others on their job duties, coordinating the work of others, coordinating projects, acting as a team lead, and directly supervising others).
- Interact with others requiring employee to verbally communicate as well as hear and understand spoken information.
- Operate computers, telephones, office equipment, including manipulating paper requiring the ability to move fingers and hands.
- See and read computer monitors and documents.
- Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.