UHC - Case Manager Staff Asst

WVU; Bridgeport (WV); On-site; USD 35,000 - 55,000; Full time

Job summary

An established healthcare provider is seeking a dedicated Case Manager Staff Assistant to support the Care Management Team. In this role, you will ensure efficient operational functions and collaborate with third-party payers and post-acute providers. Your responsibilities will include timely documentation in the electronic Care Management System, effective communication with healthcare professionals, and assisting with discharge planning activities. This is an excellent opportunity to contribute to patient care while working in a dynamic environment that values teamwork and quality outcomes. Join a team that prioritizes patient satisfaction and professional growth!

Qualifications

• Two years administrative experience required.
• Experience in a healthcare setting preferred.

Responsibilities

• Support Care Management Team with operational functions.
• Communicate with payers for service authorization.

Skills

Verbal Communication

Written Communication

Collaboration

Basic Computer Knowledge

Education

High School Diploma

Associates or Advanced Degree

Tools

Electronic Care Management System

Standard Office Software

Job description

UHC - Case Manager Staff Asst page is loaded

UHC - Case Manager Staff Asst

Apply locations United Hospital Center (UHC) time type Full time posted on Posted 2 Days Ago job requisition id JR25-07072

Welcome! We’re excited you’re considering an opportunity with us!

This position provides support to the Care Management Team to ensure that the day to day operational functions of the department are met in a timely manner. This position includes collaboration with third party payers as well as post-acute providers. This position will also be responsible for timely and appropriate documentation within the electronic Care Management System.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High School diploma or equivalent.

EXPERIENCE:

1. Two (2) years administrative experience.

PREFERRED QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Associates or advanced degree.

EXPERIENCE:

1. Two (2) years’ experience in a health care setting.
2. Hospital, home health, or payer relations experience.
3. Clerical experience in utilization management, discharge planning or case management.
4. One (1) year of ICD9/CPT Coding or Medical Terminology experience.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Greets visitors and health care personnel promptly and professionally; screens visitors and telephone calls to determine urgency of contact and to facilitate appropriate routing or referral; representing Care Management in a positive manner.
2. Effectively communicates clinical information with payer to obtain authorization for post-acute services/medications and documents interactions in patient’s electronic medical record (EMR) along with timely communication with Care Management staff.
3. Participates in discharge planning activities (e.g. contact of post-acute care facilities, other community resources and transportation) as needed to ensure a timely patient discharge and appropriate linkage with post-acute providers.
4. Provides prompt feedback regarding payer determinations to Supervisor/Care Manager, enabling them to evaluate/redirect the current patient plan of care in order to streamline the delivery of service.
5. Function as placement specialist, as required, to include research for preferred providers for HHC/DME/Acute Rehab/SNF/LTACH placement.
6. Proactively communicates any change in payer information to Supervisor/Care Manager and documents changes appropriately.
7. Verify with patient financial counseling that all payment sources have been explored and updated in the patient’s electronic medical record (EMR).
8. Participates in reimbursement, certification and authorization related activities (e.g. faxing or copying required information) as required.
9. Contacts and coordinates with referral agencies to arrange provision of ordered equipment and associated services when appropriate, as directed by Care Managers.
10. Collects copies and transmits pertinent clinical and patient demographic information required to complete arrangements for post-discharge care and/or placement, as directed by the Care Managers.
11. Coordinates and arranges transportation and community services, as directed by care managers.
12. Provides secretarial and clerical support, including faxing, copying charts, filing, typing and scanning.
13. Ensures payer and customer satisfaction through effective communication and positive customer service skills at all times.
14. Maintains confidentiality of communications.
15. Using independent judgment prioritizes appropriately to ensure efficient utilization of time.
16. May serve as back up to the Administrative Assistant for Care Management in their absence.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Prolonged periods of standing or sitting.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Flexible hours to include weekends and holidays.
2. May include some patient interaction.

SKILLS AND ABILITIES:

1. Excellent verbal and written communication skills.
2. Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
3. Basic computer knowledge and ability to operate standard office software.

Additional Job Description:

Scheduled Weekly Hours: 40

Shift:

Exempt/Non-Exempt: United States of America (Non-Exempt)

Company: UHC United Hospital Center

Cost Center: 405 UHC Quality Management

Address: 327 Medical Park Drive Bridgeport West Virginia

WVU Medicine is proud to be an Equal Opportunity employer. We value diversity among our workforce and invite applications from all qualified applicants regardless of race, ethnicity, culture, gender, sexual orientation, sexual identity, gender identity and expression, socioeconomic status, language, national origin, religious affiliation, spiritual practice, age, mental and physical ability/disability or Veteran status.