Case Management Assistant

MedStar Health is looking for a Case Management Associate to join our team at Georgetown University Hospital. The ideal candidate will have strong word processing, spreadsheet management and communication skills. As a Case Management Associate, you will assess the patient insurance/financial status to facilitate appropriate discharge planning. Use departmental software to update hospital departments regarding post‑hospital care referrals, provider contacts, and other related information. Serve as a communication liaison between Clinical Case Managers, Social Workers, and on‑site reviewers. Interact with Precert, PT/OT, and Lombardi social worker/case managers. Primary Duties Verifies patient insurance/financial status as required for access to post‑hospital care. Places orders for post‑hospital care and verifies that post‑hospital care is secured prior to patient discharge. Attends multidisciplinary rounds on the nursing unit floors as scheduled. Uses software to update the Case Management Department, PFS, and Precert regarding post‑hospital care referrals and provider contacts, and all other discharge arrangements. Monitors Utilization Review Line eight hours daily to communicate that insurance companies need clinical info from case managers. Obtains patient medical records for patient referrals and/or discharge as requested. Faxes referrals and chart copies as necessary. Facilitates weekly meetings and performs charge rotation in the absence of HR Coordinators/Supervisor. Prepares billing confirmation documents for GUH, indicating responsibilities for payments of services for indigent patients, signed by the Director of Case Management as requested. Answers the main telephone line, verifies that voicemail has been attended to daily, and transfers calls appropriately. Serves as a communication liaison between Clinical Case Managers, social workers, and on‑site reviewers. Communicates any actual or potential problems with post‑hospital care, patient or provider relations to the appropriate Clinical Case Manager and supervisor immediately. Qualifications High School Diploma or GED. 1–2 years of experience in a healthcare environment preferred. Previous directly related healthcare experience preferred. #J-18808-Ljbffr