Care Management Support Specialist

CHRISTUS Health; Beaumont (TX); On-site; USD 42,000 - 65,000; Full time

Job summary

CHRISTUS Health in Beaumont, TX seeks a detail-oriented support professional to assist Case Managers and Social Workers with admissions, authorizations, and concurrent reviews. You will communicate with payers, prepare documentation, and help ensure timely utilization review processes.

A strong focus on accuracy and coordination across teams is essential. Responsibilities include preparing letters, faxing, and gathering UR notes to support appeals and data collection for ongoing case management.

Qualifications

• High School Diploma required.

Responsibilities

• Assist Case Managers with facsimiles to multiple entities and contact Case Manager for further instructions after patient approval.
• Develop memoranda or letters to multiple entities.
• Ensure initial and continued stay clinical reviews are communicated timely to payers.
• Provide pre-admission authorization review to payers.
• Document Levels of Service based on MS-DRG and LOS benchmarks; provide daily updates to Case Managers.

Education

High School Diploma

Job description

CHRISTUS Health in Beaumont, TX seeks a detail-oriented support professional to assist Case Managers and Social Workers with admissions, authorizations, and concurrent reviews. You will communicate with payers, prepare documentation, and help ensure timely utilization review processes.

A strong focus on accuracy and coordination across teams is essential. Responsibilities include preparing letters, faxing, and gathering UR notes to support appeals and data collection for ongoing case management.