Case Manager Assistant

Facility: PeaceHealth Springfield Rehabilitation Hospital Schedule: Full Time Join us in opening PeaceHealth Springfield Rehabilitation Hospital, a brand-new inpatient rehabilitation facility (IRF) opening its doors in 2026. Your experience matters PeaceHealth Springfield Rehabilitation Hospital 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. Byjoining our team, you're embracing a vital mission dedicated to making communities healthier. 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 Provides assistance to 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. Assists the case management team in scheduling family conferences. Assists the case management team by making 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, follow-up, 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, DCM, Case Manager, Clinical Denial Management, and Centralized Business Office (CBO)]. Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Lead CM/DQ and 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. Brand new facility: Brand new hospital, built from the ground up, with cutting edge equipment and technology! What we're looking for Applicants should possess the following qualifications and skills: College degree in healthcare related field preferred LPN or social work degree preferred but not required Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department. Proficient with WORD and EXCEL software, keyboard typing, and general office equipment. EEOC Statement PeaceHealth Springfield Rehabilitation Hospital is an Equal Opportunity Employer. PeaceHealth Springfield Rehabilitation Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. #J-18808-Ljbffr Memorial Physician Practices