Job Description
Case Manager Assistant
Full-time / Day-shift (Mon-Fri 7:30am - 4:00pm)
UM Capital Region Health - Largo, MD
P OSITION SUMMARY
Supports the operation of the Case Management Department by performing a variety of administrative and coordinative duties to ensure compliant and timely documentation and tracking of patient information and in the general administration of the department.
** P** ** r** ** incipal Duties** :
1. Coordinates with the unit administrative and care staff to identify and log in the shared audit file discharged Medicare patients requiring specialized documentation to include: MOON letters and (Second) Important Message letters (IM).
2. Tracks, records and maintains denial letters and other case information in the Midas information system.
3. Tracks certified days and decisions from the Payor(s).
4. Provides administrative liaison between the Case Managers and the Emergency Room.
5. Ensures staffing information is obtained, verified, and updated on the daily staffing boards.
6. Researches, responds to and/or refers to appropriate staff including department leadership patient questions, concerns and complaints.
7. Maintains the Conference Room Calendar for Quality, Risk, Appeals and Case Management meetings.
8. Prepares and provides Daily Census and Insurance Logs to the Hospital Case Managers. Distributes Insurance Logs to Payors in the absence of the Department Secretary.
9. Assists with the preparation and distribution of training and resource materials to employees and external vendors.
10. Monitors staff time in the time and attendance system.
11. Verifies vendor invoices for accuracy, processes and submits for payment/check requests.
12. Transmits clinical documentation via Curaspan (edischarge) to Payors, Nursing Facilities or other stakeholders.
13. Coordinates events and functions with other departments.
14. Performs related duties as assigned.
Qualifications
** Education/Knowledge**
Attained Level: High School Diploma or equivalent
Preferred: Associates Degree
Completed Course Work/Program: Preferred: Business, Healthcare Administration
** Applicable Experience**
Experience (years): Required: 2 years Preferred: 3 years or more
Experience (describe required & preferred): Two years of administrative experience. Prefer three or more years of experience in a healthcare facility.
** Technical/Clinical Skills**
Microsoft Office Suite Skill Level
Basic knowledge and working experience with Medical Terminology
Standard Office Equipment (list) : Computer/laptop/fax
** Communication Skills & Abilities**
Select highest applicable level: Exchange Information on Factual Matters
** P** ** r** ** oblem Solving/Analytical Skills & Abilities**:
Administrative Support
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation