Case Management Assistant

Description

Case Management Assistant

Your experience matters

Memorial Medical Center is part of Lifepoint Health a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Management Assistant joining our team youre embracing a vital mission dedicated to making communities healthier

• . Join us on this meaningful journey where your skills compassion and dedication will make a remarkable difference in the lives of those we serve.

How youll contribute

A Case Management Assistant who excels in this role completes various duties to enhance the efficiency of the Case Management Department and supports the daily functions of the case managers. This role assists in securing arrangements for the discharge transition and post-acute services and monitors the revenue cycle process related to insurance certifications insurance verification peer-to-peer completion and denial / appeal tracking. This position also serves as a liaison between the Case Management Department payers and additional entities. Specific duties include :

Aids the case management staff including but not limited to creating and sending referral packets organizing admission and discharge patient records making phone calls obtaining signatures or any other assistance needed determined by the CM team.

Schedules family conferences and by makes necessary arrangements for post-discharge follow up care.

Functions as the point of contact and liaison for the hospital Case Management Department staff regarding clinical insurance review completion and / or issues.

Forwards the necessary patient clinical information for all admission concurrent and retrospective insurance reviews to payers for the completion of medical necessity reviews.

Monitors follows up on documents and tracks payer responses / requests of completed clinical reviews including approvals appeals and denials and communicates these to the appropriate personnel (hospital staff physician Case Manager clinical denial management and Centralized Business Office).

Monitors and tracks the total hospital certified days of the patient for payers (commercial managed care and Medicaid) and communicates missing certifications to the Case Manager.

Organizes and prepares the necessary clerical elements for the weekly interdisciplinary team meeting to function timely and efficiently.

Enters DME needs per order sheet specifications prepares Discharge IMM for delivery delivers Advance Directive packets and assists with Rehabtracker sign-ups.

Why join us

We believe that investing in our employees is the first step to providing excellent patient addition to your base compensation this position also offers :

Comprehensive Benefits : Multiple levels of medical dental and vision coverage for full-time andpart-time employees.

Financial Protection & PTO : Life accident critical illness hospital indemnity insurance short- and long-term disability paid family leave and paid time off.

Financial & Career Growth : Higher education and certification tuition assistance loan assistance and 401(k) retirement package and company match.

Employee Well-being : Mental physical and financial wellness programs (free gym memberships virtual care appointments mental health services and discount programs).

Professional Development : Ongoing learning and career advancement opportunities.

What were looking for

Applicants should have a minimum of one year of hospital or post-acute healthcare experience with preference in case management or a clinical department. Additional requirements include :

Education :

College degree in a healthcare related field preferred. LPN or social work degree preferred but not required.

Connect with a Recruiter

Not ready to complete an application or have questions Please contact Tara by emailing

More about Memorial Medical Center

Memorial Medical Center is a 199-bed acute medical / surgical teaching hospital located in Las Cruces NM and is part of Lifepoint Health a diversified healthcare delivery network committed to making communities healthier with acute care rehabilitation and behavioral health facilities from coast to coast. From your first day to your next career milestoneyour experience matters.

EEOC Statement

Memorial Medical Center is an Equal Opportunity Employer. Memorial Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Key Skills

Accounting Software,Time Management,Accounts Administration,Accounts Receivable,Accounts Reconciliation,Administrative Skill,Leadership skills,Accounting & Finance,Accounts Management,Communication,Analysis Skills,Relationship Management,Team Player Spirit,Budgeting Skills,Accounts Payable

Employment Type : Full-Time

Experience : years

Vacancy : 1