Care Management Coordinator — Flexible Hours

WVU Medicine; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

WVUH West Virginia University Hospitals is seeking a Care Management Administrative Assistant to support daily operations in the Care Management Team. The role involves payer communications, discharge planning, and maintaining timely documentation in the EMR.

The position requires a high school diploma and two years of administrative experience, with preferred associates degree and healthcare experience. Flexible hours and non-exempt status apply.

Qualifications

• Required: High School diploma or equivalent and two years administrative experience.
• Preferred: Associates degree or higher and two years in health care settings; hospital/home health/payer relations experience; clerical experience in utilization management or case management; ICD9/CPT coding or medical terminology experience.

Responsibilities

• Greet visitors and staff, screen calls, and route inquiries to Care Management.
• Communicate clinical information to payers to obtain authorization for post-acute services and document in EMR.
• Assist discharge planning by coordinating with post-acute facilities and community resources.
• Provide feedback on payer determinations to optimize patient plans of care.
• Coordinate placement research for home health, durable medical equipment, acute rehab, SNF, LTACH as needed.
• Update payer information and verify patient financial counseling details in EMR.
• Support reimbursement, certification, and authorization activities as required.
• Coordinate with referral agencies to arrange equipment and services for post-discharge care.

Skills

Verbal and written communication

Collaborative teamwork

Computer literacy

Education

High School diploma or equivalent

Associates or advanced degree

Job description

WVUH West Virginia University Hospitals is seeking a Care Management Administrative Assistant to support daily operations in the Care Management Team. The role involves payer communications, discharge planning, and maintaining timely documentation in the EMR.

The position requires a high school diploma and two years of administrative experience, with preferred associates degree and healthcare experience. Flexible hours and non-exempt status apply.