Case Management Assistant

Case Management Assistant Your experience matters Memorial Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Case Management Assistant joining our team, you're embracing a vital mission dedicated to making communities healthier® with acute care, rehabilitation, and behavioral health facilities. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Case Management Assistant who excels in this role completes various duties to enhance the efficiency of the Case Management Department and supports the daily functions of the case managers. This role assists in securing arrangements for the discharge transition and post-acute services and monitors the revenue cycle process related to insurance certifications, insurance verification, peer-to-peer completion, and denial/appeal tracking. This position also serves as a liaison between the Case Management Department, payers, and additional entities. Specific duties include: Aids the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team. Organizes and prepares the necessary clerical elements for the weekly interdisciplinary team meeting to function timely and efficiently. Schedules family conferences and by makes necessary arrangements for post-discharge follow-up care. Functions as the point of contact and liaison for the hospital Case Management Department staff regarding clinical insurance review completion and/or issues. Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews. Monitors, follows up on, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel (hospital staff, physician, Case Manager, clinical denial management, and Centralized Business Office). Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Case Manager. Enters DME orders, prepares discharge IMM for delivery, delivers Advance Directive packets and assists with Rehabtracker sign-ups. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits : Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO : Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth : Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being : Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development : Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a minimum of one year of hospital or post-acute healthcare experience with preference in case management or a clinical department. Additional requirements include: Education: College degree in a healthcare related field preferred. LPN or social work degree preferred but not required. More about Memorial Medical Center Memorial Medical Center is a 199-bed acute medical/surgical teaching hospital located in Las Cruces, NM, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters. EEOC Statement Memorial Medical Center is an Equal Opportunity Employer. Memorial Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. #J-18808-Ljbffr Memorial Physician Practices