Job description
Overview
Responsible for ensuring appropriate communication with third party payers to authorize hospital days. The Care Management Associate obtains information from clinical reviews done by the case manager as well as patient medical information from other computer applications utilized by the facility.
CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.
Responsibilities
Qualifications
Required Education: High School Diploma/GED
PREFERRED Qualifications:
1. Medical Terminology
2. Computer Proficient (MS Word, Excel, Outlook)
Responsible for ensuring appropriate communication with third party payers to authorize hospital days. The Care Management Associate obtains information from clinical reviews done by the case manager as well as patient medical information from other computer applications utilized by the facility.
CHI Health Lakeside is West Omaha's only full-service hospital. We believe that patient-focused care heals the body, mind and spirit of every person. Our campus is designed for patients and sets the tone for a comfortable, less stressful hospital stay. As one of the most technologically advanced hospitals in the world we provide a full range of services including: maternity, cancer and surgery care as well as diagnostics and emergency services.
Responsibilities
- Utilizes case management software to generate work lists
- Submits clinical information per third party payer requirements
- Upon identification of possible concurrent denial, forwards information to appropriate case manager
- Notifies third party payer of patient discharge and secures all days
- Assists with non-clinical functions to coordinate care transitions
- Utilizes effective communication skills to accurately complete work
- Collaborates effectively with all department staff to achieve goals and objectives
Qualifications
Required Education: High School Diploma/GED
PREFERRED Qualifications:
1. Medical Terminology
2. Computer Proficient (MS Word, Excel, Outlook)
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