Care Management Coordinator
| Company | Corewell Health |
|---|---|
| Location | Grand Rapids, MI, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Junior, Mid Level |
Requirements
- High school diploma or equivalent
- 2 years of relevant experience, related work in a clinical office or health insurance setting.
Responsibilities
- Inputs data from various sources (insurance companies, admissions, certification, and other hospitals) into Care Management discharge planning software and insures communication to members of Care Team.
- Processes and prepares clinical reviews completed by Care Management Department (CMD) employees for confidential transmission to third party payers.
- Maintains ongoing communication between Corewell Health (SH) and third-party payers related to the number of hospital days authorized, additional requests for clinical information, anticipated discharge needs, etc.
- Supports specific third-party payers by obtaining authorization for services; providing accurate & timely admission/discharge dates; updating CMD and CH employees on any demographic changes; problem solving issues/concerns third party payer may have. Reports reviews needed to case manager.
- Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.
- Performs other duties as assigned.
Preferred Qualifications
- Associate’s degree