Case Management Assistant

General Summary of Position 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. Primary Duties In this role, you will assess patient insurance/financial status, facilitate discharge planning, use departmental software to update department information, serve as a communication liaison between Clinical Case Managers, Social Workers, and on‑site reviewers, and interact with Precert, PT/OT, and Lombardi social workers. 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 multi‑disciplinary 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 8 hours daily to communicate that insurance companies need clinical info from case managers. Obtains patient medical records for referrals and/or discharge, as requested. Faxes referrals and chart copies as necessary. Facilitates weekly meetings and performs charge rotation in HR Coordinators/Supervisor's absence. Prepares billing confirmation documents for GUH to be responsible for payments of services for indigent patients, signed by the Director of Case Management, as requested. Answers the main telephone line and verifies that voicemail has been attended to daily & transfers calls appropriately. Serves as communication liaison between Clinical Case Managers, social workers and on‑site reviewers. Communicates actual or potential problems with post‑hospital care, patient or provider relations to 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. Medical Terminology class preferred. This position has a hiring range of USD $18.70 - USD $32.72 /Hr. #J-18808-Ljbffr