Care Management Tech: Streamline Care & Payer Coordination

Tenet Healthcare; Detroit (MI); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) with employer match

Paid time off

Career development

Health savings accounts

Employee assistance

Employee discounts

Pet insurance

Legal insurance

Accident/critical illness insurance

Long term care

Elder care

Auto/home insurance

Job summary

Tenet Healthcare’s DMC Sinai-Grace Hospital in Detroit seeks a Care Management Tech to support care coordination and utilization management.

Under supervision, you will assist with eligibility, benefit coverage, discharge planning, and interfacing with payers and Patient Financial Services, contributing to smooth patient transitions.

A high school diploma and 1–2 years in outpatient or hospital settings, plus data entry and basic medical terminology knowledge, are preferred.

Qualifications

• High school diploma or equivalent required.
• 1–2 years in outpatient clinic or hospital setting preferred.
• Experience in insurance, medical records, billing or related area desirable.
• Medical Assistant cert, LPN license, or healthcare coursework preferred.
• Basic computer applications experience beneficial.
• Knowledge of medical terminology preferred.

Responsibilities

• Assist Care Management functions under supervision and participate in care coordination activities.
• Communicate with third party payers and other resources to aid in patient disposition.
• Maintain utilization review files and assist with discharge planning and beneficiary communications.
• Enter data into hospital databases; support eligibility checks and benefit verification.
• Support problem resolution with patients, families, and providers to maintain service excellence.

Skills

Interpersonal communication

Written and oral communication

Managed care knowledge

Data entry

Computer systems

Lifting up to 20 lbs

Payer requirements

Multi-tasking

Basic math

Education

High school diploma or equivalent

Medical Assistant certification

LPN license or related coursework

Tools

None

Job description

Tenet Healthcare’s DMC Sinai-Grace Hospital in Detroit seeks a Care Management Tech to support care coordination and utilization management.

Under supervision, you will assist with eligibility, benefit coverage, discharge planning, and interfacing with payers and Patient Financial Services, contributing to smooth patient transitions.

A high school diploma and 1–2 years in outpatient or hospital settings, plus data entry and basic medical terminology knowledge, are preferred.