Care Management Coordinator

Shift and Status Casual, 8:00 a.m. to 4:30 p.m., variable days and weekends Job Summary Ensures that timely, accurate and complete data is submitted to appropriate insurance companies to guarantee prompt payments to Corewell Health. Communicates and collaborates with the multidisciplinary team through verbal and written communication. Participates with Care Team for the integration of the patient to the home or transitional environment by developing, planning, implementing and evaluating in accordance with current existing federal, state and local standards. Adheres to confidentiality policies specific to communications, patient confidentiality, record keeping and coordination services. Essential Functions 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 (CH) 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. Qualifications Required High school diploma or equivalent 2 years of relevant experience, related work in a clinical office or health insurance setting. Preferred Associate’s degree How Corewell Health cares for you Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here. On-demand pay program powered by Payactiv Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more! Optional identity theft protection, home and auto insurance Traditional and Roth retirement options with service contribution and match savings Eligibility for benefits is determined by employment type and status Primary Location SITE - Butterworth Hospital - 100 Michigan St NE - Grand Rapids Department Name Care Management Acute CMCs CHW - Grand Rapids Hosp Employment Type Part time Shift Day (United States of America) Weekly Scheduled Hours 0.04 Hours of Work 8:00 a.m. to 4:30 p.m. Days Worked Monday to Friday Weekend Frequency Variable weekends Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on‑site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief. Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. #J-18808-Ljbffr