Discharge & Care Coordination Technician

University of Maryland Medical System Corporation; Towson (MD); On-site; USD 42,000 - 52,000; Full time

Job summary

University of Maryland Medical System Corporation is seeking a Case Management Technician to support discharge planning and utilization management. You will assist with arranging post-discharge resources and communicate with hospitals, payors, and patients to ensure smooth transitions.

The role works under supervision of a licensed RN Care Manager or Social Worker, and requires basic healthcare terminology knowledge and hospital experience.

Qualifications

• High School Diploma or GED required; combination with experience may be considered.
• Vocational/technical degree preferred.
• 0-1 year of related technician experience in a hospital setting is required.
• 0-1 year of experience in a hospital/health care setting is required.
• 0-1 year experience with medical terminology.

Responsibilities

• Assists the Case Management team with post-acute set up.
• Arranges transportation for patient discharging via ambulance/wheelchair van.
• Makes referrals to home care agencies via CCSC in EPIC under the guidance of a Case Manager or Social Work partner.
• Works effectively with external providers through good communication, completes documentation and follow-through to ensure efficient and smooth transition for the patient.
• Effectively communicates with the healthcare team regarding discharge planning activities and status.
• Assists with the distribution of the Important Message from Medicare discharge notice and MOON per policy.
• Monitors all referrals made through EPIC.
• Submits insurance authorizations via fax/insurance portals.
• Prints reviews and sends reviews through fax to payors within allotted timelines.
• Ensures Payor satisfaction through positive and effective communication.
• Responsible for logs for clear communication with payers and UM team.
• Provides follow up to UM team on approvals and denial, peer to peer information.
• Monitors commercial reviews through daily census reports, and payor logs to avoid denial of payment to the hospital.

Skills

Medical terminology

EPIC system

Education

High School Diploma or GED

Vocational/technical degree preferred

Tools

EPIC

Job description

University of Maryland Medical System Corporation is seeking a Case Management Technician to support discharge planning and utilization management. You will assist with arranging post-discharge resources and communicate with hospitals, payors, and patients to ensure smooth transitions.

The role works under supervision of a licensed RN Care Manager or Social Worker, and requires basic healthcare terminology knowledge and hospital experience.