Case Management Specialist

Asante; Medford (OR); On-site; USD 32,000 - 44,000; Part time

Benefits offered by this job

Competitive Pay

Health & Wellness

Retirement Savings

Paid Time Off

Professional Development

Life Insurance

Job summary

Asante in Medford, OR is seeking a Case Management Specialist to support post-acute care planning and utilization review as part of the Case Management team. You will apply communication, organizational, and problem‑solving skills to help the RN Case Manager carry out care plans and interventions for optimal outcomes.

The role involves coordinating with payors, managing authorizations and denials, and ensuring compliance with discharge planning regulations; experience with EPIC is preferred and

Qualifications

• 3 years of experience in administrative functions in care coordination in healthcare settings is required.
• Experience with Microsoft Word and Excel is required
• Experience with EPIC is highly desired.
• CMS hospital discharge regulations knowledge preferred.

Responsibilities

• Implements post-acute care plans and utilization review activities as defined by the RN.
• Manages incoming payer correspondence by fax or phone, documenting hospital authorizations and denials.
• Complies with all Asante policies, procedures, and regulatory requirements related to discharge planning and utilization review.

Skills

Communication skills

Organizational skills

Problem-solving

Education

Associate's degree in business or healthcare administration

Tools

EPIC

Microsoft Word

Microsoft Excel

Job description

Description

Additional Position Details: FTE: 0.000001 | On Call | Variable Hours/Variable Days

Starting Wage: $23.28-$32.02 per hour, depending on experience

Position Summary

The Case Management Specialist functions as a member of the Case Management team. They utilize communication, organizational, and problem-solving skills to carry out the post-hospital care plans and interventions as defined by the RN Case Manager. They assume a pivotal role with the patient care team to achieve optimal clinical and resource outcomes.

Key Responsibilities

• Applies knowledge and skills necessary to effectively implement the post-acute care plan and utilization review activities as defined by the RN.
• Manages incoming payor correspondence by fax or phone, including documentation of hospital authorizations and denials from the payors, indexing correspondence to the medical record, and faxing additional documentation as needed.
• Complies with all Asante, departmental policies and procedures, and regulatory requirements related to discharge planning and utilization review.

Position Qualifications

Experience

• 3 years of experience in administrative functions in care coordination in healthcare settings is required.
• Experience with Microsoft Word and Excel is required
• Experience with EPIC is highly desired.
• Current understanding of CMS regulations related to hospital discharge requirements is preferred.

Education

• High School Diploma, GED, or equivalent experience demonstrating the ability to effectively communicate as required for the position is required
• An associate's degree in business, healthcare administration, or a related field is preferred.

Total Rewards

We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:

• Competitive Pay: Hourly and salaried positions earn market-based compensation.
• Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
• Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
• Paid Time Off: Generous ETO for part-time and above employees.
• Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
• Additional Benefits: Life insurance, disability coverage, and employee assistance programs.

At Asante, we are guided by our values:

Excellence - Respect - Honesty - Service - Teamwork

Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.