Care Management Assistant - York - Days

Job description

Full time (40 hours weekly) 8:00a-4:30p, and option for weekend hours General Summary: Performs a variety of duties related to facilitating the discharge planning process. Assists the Care Management team with the clerical functions. All tasks listed below may be expected in assigned daily work. Duties and Responsibilities: Essential Functions: - Assists with clerical functions (e.g., filing, copying, scanning, emailing, telephone, taking minutes) - Determines patient health insurance benefit information as requested by CMRN/CMSW. - Reviews payor logs and enters authorization information into EMR/patient record. - Receives denial information and records in EMR/patient record; forwarding same to assigned CMRN. - Initiates SNF authorizations as requested by CMSW/CMRN; followed by documentation of payor determination in EMR/patient record. - Completes discharge notification to varied insurance payors. - Assists CM team with IMM notices to patient. - Assists with medication pricing as requested by CMRN/CMSW. - Coordinates after care issues with the appropriate team members. - Supports the CM team by coordinating follow up PCP appointments. - Compiles data for and prepares regularly sch...