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McLaren Health Care · 3 hours ago

Integrated Care Management Assistant Case Management

Port Huron, MI

Full-time

Onsite

Entry Level

2+ years exp

McLaren Health Care is seeking an Integrated Care Management Assistant to support RN and SW Care Managers with discharge and transition planning. The role involves coordinating referrals, managing documentation, and ensuring efficient operation of the ICM department.

Health CareHospitalMedicalOncologyRehabilitation

Responsibilities

Assists with facilitating discharge planning to expedite a successful transition of care

Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services

Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements

Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community

Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion

Communicates pertinent documentation to nursing and homecare facilities to expedite patient discharges for assigned patients

Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community

Attends meetings and prepares agendas and minutes

Handles incoming and outgoing office correspondence; answers and directs department phone calls as needed

Performs general office duties including faxing, copying, scanning and filing. Orders department supplies

Tracks and communicates bed availability at area extended care and rehab facilities

Communicates with internal and external customers to answer questions

Troubleshoots problems that arise with office equipment. Notifies leadership of unresolved issues

Performs other related duties as required and directed

Qualification

Case management experienceUtilization review experienceMedical terminology knowledgeBasic Life Support (BLS)Clerical experienceProfessional tactCommunication skillsOrganizational skills

Required

High school diploma

Two years of clerical experience

One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology

Preferred

Associate's Degree in a HealthCare related field

Two years of case management or utilization review experience

Three years of recent experience doing third party payer certification

Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)