Provides administrative and clerical support to the Case Management team to facilitate care coordination and utilization review. Responsibilities include tracking concurrent reviews, obtaining authorizations, and arranging post-acute care services and transportation for patients.
Requirements summary
Requires a high school diploma, knowledge of medical terminology, and at least one year of experience as an administrative assistant in a healthcare or insurance setting. Proficiency in computer data processing and the ability to meet strict deadlines are essential.
COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE! We are seeking a Case Management Assistant to join our team!
Hospital Details
Gateway Rehab, located in Florence, KY is a 40 bed inpatient rehab providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses. We help our patients regain their physical or cognitive abilities so they can return home at their highest level of independence. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families.
Responsibilities
Provides clerical and administrative support to the Case Management team to facilitate care coordination, discharge planning, and utilization review.
This may include but is not limited to: Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system.
After receiving training may assist with issuing the Medicare Important Message.
Assists with initial post discharge referrals and makes follow up calls to providers regarding referrals and acceptance.
Assists with arrangement of post-acute care services such as Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion and Wound Care Centers, and post discharge transportation.
Assists with preparation and completeness of discharge packets that accompany patients to Skilled Nursing, Subacute, and Acute Rehab Facilities.
Assists in arranging post discharge physician appointments with primary care physician and specialist.
May conduct post discharge calls to patients and providers and refer to appropriate disciplines if additional follow up is needed.
Required Skills: High school diploma or equivalent required.
Knowledge of medical terminology required.
Minimum one (1) year of experience as an Administrative Assistant or higher role required.
Previous experience in a health care or health insurance setting required.
Benefits
Life Insurance
Tuition Reimbursement
Pet Insurance
Dental Coverage
Vision Coverage
Employee Assistance Plan
Disability Benefits
Accident Plan
401K Matching
Company Discounts
HSA Options
Continuing Education Reimbursement
HMO Options
Flex Spending Plans
Group Legal Assistance
Medical PPO High And Low Deductible Plans
Free Prescription Plans
Hospital Plan
Critical Illness Plan
Significant computer/data gathering and processing experience required.
Additional Qualifications/Skills: One (1) year of college preferred.
Acute Care Hospital experience preferred.
Experience working with Third Party Payor’s preferred.
Knowledge of reimbursement programs, case management, and discharge planning preferred.
Knowledge of federal and state regulatory standards, and Policies and Procedures.
Ability to understand and complete work under deadlines.
Strong organizational, prioritizing, and analytical skills.
Ability to make independent decisions when circumstances warrant.
Working knowledge of computer and software applications used in job functions.
Ability to project a professional image.
Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.
Benefits
At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits.
Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets
FREE prescription plans
Dental and Vision coverage
Life insurance
Disability Benefits
Employee Assistance Plan
Flex Spending plans, 401K matching
Additional Critical Illness, Accident, and Hospital plans
Company discounts for mobile phone service, electronics, cell phones, clothing, etc
Pet Insurance
Group legal – provides legal assistance with personal legal matters
Tuition and continuing education reimbursement
Work life balance At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.
