Company Description
THE MEDICAL HEART OF MARYLAND
Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland's health care system and community. We're known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible. The R Adams Cowley Shock Trauma Center, the world's first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate. We also have one of the nation's largest kidney and pancreas transplant programs at The Joseph and Corinne Schwartz Division of Transplantation, home to Maryland's first steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland's Children's Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives.
Job Description
Case Management Technician
Part-Time
Towson, MD
We are looking for talented professionals to join our team at University of Maryland St. Joseph Medical Center.
When you come to University of Maryland St. Joseph Medical Center, you're coming to more than simply a beautiful 37-acre, 224- bed suburban Towson, MD campus. You're embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority.
As a team member at St. Joseph Medical Center, you'll experience:
* A supportive and collaborative work environment
* A comprehensive benefits package including health, vision and dental coverage including prescription drug coverage - Tax-Free Savings Plans, Tuition Reimbursement, and generous paid time off.
* Free Parking & On-Site Fitness Center
* Recognition: We have a positive points recognition program designed to reward and recognize our outstanding employees; employees can also recognize their peers
* On-Site Daycare
General Summary
The Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, carrying out associated routine tasks. These include assisting with arrangement of post discharge resources such as returns to nursing home, home care, DME, and transportation services, and supporting communication between the hospital, customers and payors through phone, fax, notifications and data entry. Works under the under the direction of a licensed RN Care Manager or Social Worker.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified and may perform additional functions and other activities assigned.
Discharge Planning:
* Arranges for transportation at discharge for patients requiring post-acute transfers via ambulance and wheelchair vans.
* Under the direction of a licensed professional, and with consideration of the patient's insurance coverage, will make appropriate referrals to home care agencies via E-discharge.
* Works effectively with external providers through good communication, complete- documentation and follow-through to ensure efficient and smooth transition for the patient.
* Effectively communicates with the healthcare team regarding discharge planning activities and status.
* Responsible for the distribution of the Important Message from Medicare second notice per hospital policy.
Utilization Review:
* Monitors commercial reviews through daily census reports, and payor logs to avoid denial of payment to the hospital.
* Prints reviews and sends reviews through fax to payors within allotted timelines.
* Answers calls and retrieves faxes from payors to determine certifications and denials of days for reimbursement.
* Enters certified and avoidable (denied) days in MIDAS.
* Creates logs of daily communication with payors.
* Follows up on and completes all pending certifications.
* Ensures payor satisfaction through positive and effective communication.
Qualifications
Education
* High School Diploma or GED ( Required )
* Combination of relevant education and experience may be considered in lieu of degree. Vocational / Technical Degree (Preferred)
Certification / Licensure / Registration
* CNA (Preferred)
Experience and Skills
* 0 - 1 year related Technician experience ( Required )
* 0 - 1 year experience in hospital/health care setting (Required) 0 - 1 year Experience with medical terminology. (Preferred)
* Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excellent Interpersonal Skills, General Clerical Skills, Basic Computer Skills, Excellent Organizational Skills, Strong Customer Services Skills
Additional Information
All your information will be kept confidential according to EEO guidelines.
