Care Management Resource Center Specialist
| Company | Cleveland Clinic |
|---|---|
| Location | Cleveland, OH, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | |
| Experience Level | Mid Level, Senior |
Requirements
- High School Diploma or GED
- Three to five years of current administrative/clerical experience working in healthcare or a related field
- Fluency in medical terminology
- Computer literacy
- Excellent verbal and written communication and organization skills
Responsibilities
- Support the Transitional Care Coordinator and Inpatient Social Worker with specified non-clinical work.
- Initiate contact with payers to facilitate precertification for transfer to post-acute facilities, provide clinical documentation and ensure timely follow up calls.
- Initiate contact with post-acute agencies, provide updates as requested and facilitate placement.
- Facilitate 7000 forms by Healthcare Electronic Notification System (HENS).
- Place and close referrals in AllScripts Care Management.
- Handle calls from commercial payor case managers with questions regarding admitted patient’s discharge plans.
- Manage post-acute pre-cert process for commercial insurance patients needing pre-cert to post-acute facilities.
- Provide necessary verbal and electronic communication to and from care management staff, serving as a liaison between hospital personnel and the various agencies.
- Serve as a central hub communicator for discharge plan information.
- Complete data tracking and collection to assist with the identification of routine statistics and problems or trends.
Preferred Qualifications
-
No preferred qualifications provided.