Care Management Support & Appeals Specialist

CHRISTUS Health; Tyler (TX); On-site; USD 40,000 - 52,000; Full time

Job summary

CHRISTUS Health in Tyler, TX seeks a detail-oriented support specialist to assist Case Managers and Social Workers in coordinating admissions, authorizations, and LOS reviews. The role ensures timely approvals within 24 hours and clear communication with payers.

Responsibilities include preparing documents, drafting memos, collecting UR notes, supporting pre-admission reviews, and aiding in denial appeals. The position emphasizes data entry, reporting, and collaboration to improve care

Qualifications

• High School Diploma required.

Responsibilities

• Assist Case Managers with pre-admission authorization reviews and documentation.
• Develop memorandums or letters to multiple entities.
• Utilize UR notes and MS DRG data to support initial and continued stay reviews.

Job description

CHRISTUS Health in Tyler, TX seeks a detail-oriented support specialist to assist Case Managers and Social Workers in coordinating admissions, authorizations, and LOS reviews. The role ensures timely approvals within 24 hours and clear communication with payers.

Responsibilities include preparing documents, drafting memos, collecting UR notes, supporting pre-admission reviews, and aiding in denial appeals. The position emphasizes data entry, reporting, and collaboration to improve care