Care Manager Assistant PRN - WJMC

100 LCMC Health; Ardmore (NC); On-site; USD 38,000 - 52,000; Full time

Job summary

LCMC Health is seeking a Care Management Assistant to support the care management team with discharge planning, intake, transmission and tracking of clinical reviews to payors, coordination of post-hospital care and service arrangements, ensuring complete documentation for patient discharge.

You will work to ensure that the required information reaches payers and providers, collaborate with the care management team, and participate in weekend coverage as part of the department’s duties.

Qualifications

• High school diploma or GED with 2 years of office/clerical experience in a healthcare setting.
• 4 years of healthcare experience may substitute for education.

Responsibilities

• Participate in discharge planning to ensure referrals to post-acute providers and timely patient discharges.
• Assist in researching available preferred providers for post-acute care to meet discharge needs.
• Contact post-acute care providers and transmit information needed for referrals with follow-up.
• Collect, copy, and transmit pertinent patient demographic and clinical information for post-acute arrangements.
• Transmit transition of care documents to primary care physician and post-acute providers.
• Facilitate timely transmission of reviews to payers in coordination with the case management team.
• Communicate pertinent information received from payers to relevant stakeholders.
• Support and assist with concurrent insurance denials and appeals processes and provide denial information to stakeholders.
• Collaborate with other departments to ensure accuracy of patient and payer information.
• Assist the department leadership in data management.
• Maintain accurate payer contact information and update in software system.
• Validate and update vendor information.
• Schedule Weekend Coverage

Education

High school diploma/GED

4 years of healthcare experience in lieu of education

Job description

Your job is more than a job As a Care Management Assistant, you support the care management team with the utilization review process such as intake, transmission, and tracking of clinical reviews to payors, coordination of post hospital care and service arrangements, and ensuring that documentation, communication and information required to facilitate patient discharge is complete. You understand that it’s not just “paperwork”. What you do is a vital connection that facilitates and readies patients for the next phase of their healthcare journey. That’s why you put a little “extra” heart into everything you do. We love that about you. Your experiences, knowledge, skills, empathy, compassion, and your “little something extra” all add up to you. And we’re excited to get to know you and find out what you’ll bring to this care management support role.

Your Everyday

• Participate in discharge planning activities as needed to ensure appropriate referrals to post-acute providers and timely patient discharges.
• Assist in the research for available preferred providers for post-acute care to meet the patient’s needs for discharge.
• Contact post-acute care providers and transmit information needed for the referral process and provide follow-up to ensure identification and communication of available resources.
• Collect, copy, and transmit pertinent patient demographic and clinical information required to complete arrangements for post-acute care and/or placement.
• Transmit transition of care documents to primary care physician and post-acute providers.
• Facilitate timely transmission of reviews to the payers in coordination with the case management team.
• Communicate pertinent information received from payers to relevant stakeholders.
• Support and assist with concurrent insurance denials and appeals processes and provide denial and non-certified day information to the appropriate stakeholders to reduce potential denials.
• Collaborate with other departments to ensure accuracy of patient and payer information.
• Assist the department leadership in data management.
• Maintain accurate payer contact information and update in software system to ensure accuracy in review submission.
• Validate and update vendor information.
• Schedule Weekend Coverage

The Must-Haves Minimum

• Combination of appropriate education and work experience.
• High school diploma/GED and 2 years of office/clerical experience in a healthcare setting.
• 4 years of experience in a healthcare setting is required in lieu of education.

WORK SHIFT: Weekends (United States of America)

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems - it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

About LCMC Health One‑of‑a‑kind care comes from one‑of‑a‑kind people. At LCMC Health, our people are the magic ingredient that makes our care so extra‑extraordinary. We are compassionate, driven, and dedicated to bringing a little something extra to healthcare and to the people of New Orleans and beyond. If you’re the kind of person who believes that our community deserves the best and that healthcare needs a little more heart, we want you to be a part of our family. From medical roles to administrative positions, every person on our team plays a part in our mission: to provide health, care, and education beyond extraordinary. Let’s make every day extraordinary, together.