Care Manager Assistant PRN - WJMC

LCMC Health; New Orleans (LA); On-site; USD 40,000 - 60,000; Full time

Benefits offered by this job

Deliver healthcare with heart

See opportunities, not problems

Be honest and real, with compassion

Lagniappe in everything you do

One-of-a-kind care

Job summary

LCMC Health in New Orleans seeks a healthcare administrative professional to support discharge planning and post-acute referrals. You will research providers, transmit referrals, and share patient information with care teams and payers to ensure smooth transitions.

Experience in healthcare office settings and knowledge of case-management processes are valued. Collaboration across departments and data maintenance are key aspects of this role in our Louisiana facilities.

Qualifications

• High school diploma or GED plus two years of office/clerical experience in a healthcare setting.
• Four years of healthcare experience can be used in lieu of education.

Responsibilities

• Participate in discharge planning activities to ensure referrals to post-acute providers and timely patient discharges.
• Assist in researching available preferred post-acute providers to meet patient needs.
• Contact post-acute care providers and transmit information needed for referrals.
• Collect, copy, and transmit relevant patient demographic and clinical information for post-acute arrangements.
• Transmit transition of care documents to the primary care physician and post-acute providers.
• Assist with timely transmission of reviews to payers in coordination with the case management team.
• Communicate pertinent information from payers to relevant stakeholders.
• Support 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 department leadership in data management and update vendor information.

Skills

Office/clerical experience

Education

High School diploma or GED

Job description

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.

Work Shift

Weekends (United States of America)

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.

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.