Integrated Case Management Specialist

Hackensack Meridian Health; Hackensack (NJ); On-site; USD 25,000 - 35,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Hackensack Meridian Health is seeking an Integrated Case Management Specialist to support insurance management with payors and Care Coordinators. You will prepare Appeals/Denials and manage communications, while handling mail, phone inquiries, Medicaid appointments and discharge tasks.

You will prepare comprehensive discharge reports and supply Medicare letters before discharge. Minimum requirements include a High School diploma or GED and healthcare experience, with strong communication,

Qualifications

• High School diploma or GED required.
• Experience in the healthcare industry is preferred.
• Strong written, oral, and interpersonal communication skills.
• Proficient in word processing and Excel.
• Ability to learn EPIC and INDICIA systems.
• Education on discharge needs and patient care improvements preferred.
• Strong time management and ability to work independently.

Responsibilities

• Perform services related to insurance management with payors and support Care Coordinators.
• Prepare Appeals and Denials information for processing and follow up on communications.
• Oversee sorting and distribution of mail in the department and answer phones.
• Handle Medicaid appointments, discharge functions, and 70-hour discharge reports.
• Provide patients with the IM Letter from Medicare prior to discharge.

Skills

Excellent communication

Interpersonal skills

Computer proficiency

Excel skills

EPIC/INDICIA systems

Time management

Team player

Self-direction

Education

High School diploma or GED

BSW/CSW preferred

Tools

EPIC

INDICIA

Job description

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Integrated Case Management Specialist performs selected services and functions related to insurance management with various payors, ortho calls, payer communications and support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up on receipt of communication including Livanta appeal management process. Oversees the sorting and distribution of mail in the department. Answers case management and social work phones. Medicaid appointment, all discharge functions for the Care Coordinators, including seventy hour discharge report and providing patients with the IM Letter from Medicare prior to discharge.

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Experience in the healthcare industry.
• Effective written, oral, and interpersonal communications skills.
• Proficient computer, word-processing and Excel spreadsheet skills.
• Ability to learn new computer systems, i.e.: EPIC, INDICIA.
• Educated in the unique clinical and discharge needs of the patients.
• Strong time management and priority-setting skills.
• Ability to work independently and as a team member.
• Self-directed with the ability to take the initiative to solve problems.

Education, Knowledge, Skills and Abilities Preferred:

• 1 year recent experience in a hospital or medical setting preferred.
• BSW/CSW preferred.

Minimum rate of $21.73 Hourly

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.