Case Management Specialist

divh2Case Management Specialist/h2pInova Alexandria Hospital is looking for a dedicated Case Management Specialist to join the team. This role will be Full-Time, Day Shift, Monday Friday, 8:30 a.m.-5:00 p.m (some weekends and holidays rotation)./ppInova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation./ppstrongFeatured Benefits:/strong/pullistrongCommitted to Team Member Health:/strong offering medical, dental and vision coverage, and a robust team member wellness program./lilistrongRetirement:/strong Inova matches the first 5% of eligible contributions starting on your first day./lilistrongTuition and Student Loan Assistance:/strong offering up to $5,250 per year in education assistance and up to $10,000 for student loans./lilistrongMental Health Support:/strong offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost./lilistrongWork/Life Balance:/strong offering paid time off, paid parental leave/li/ulpstrongCase Management Specialist Job Responsibilities:/strong/ppThe Case Management Specialist coordinates and performs administrative activities to support the Case Management department. Participates in the annual and ongoing budget processes, arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in order to ensure that appropriate continuing care services are in place for patient transitions./pulliCommunicates and documents accurate clinical/financial information in both verbal and written forms in order to assist Case Managers and/or Social Workers in appropriate assessments, implementations and evaluations of patients continuing care needs./liliDelivers and documents delivery of regulatory forms such as the mandated Observation letter, and the Medicare IMM notifications. Receives and documents benefit and contract level requirements in order to ensure the appropriate utilization of benefits and services./liliConducts timely arrangements of services to meet customer requirements./liliAddresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned./liliDistributes and documents delivery of mandated Observation and Medicare IMM/HINN letters as directed./liliCommunicates financial and clinical information to clinicians, patients, families, care team members and external customers./liliDocuments clinical and financial patient information in order to assist with discharge, planning and access to continuing care services./liliCommunicates with payor and documents detailed instructions on billing, authorization and utilization of services./liliCompletes state and federal forms related to patient level of care, according to regulatory standards, in order to assist with patient transition./liliManages and maintains state required UAI filings as well as all accounts receivable/payable functions for the department to ensure timely payments./liliMaintains and monitors the system Case Management program including reimbursement of all negotiated vendor contracts./liliProvides support to the strategic planning and business development initiatives of the department. Reviews and approves time/attendance for department staff on a biweekly basis. Performs periodic reviews to track employee time and attendance for department leadership. Submits any identified time/pay adjustments to Payroll in a timely manner./liliMaintains records of all system Case Management files and acts as liaison to Foundation, auxiliary and external vendors./liliAssists in monitoring the operational budget, in collaboration with department Director, related to funds disbursement and reconciliation./liliTracks and monitors accounting for budgets, capital requests, travel funds and business expenses./li/ulpstrongMinimum Qualifications:/strong/pullistrongEducation:/strong High School or GED/lilistrongExperience:/strong 2 years of relevant experience/li/ulpstrongPreferred Qualifications:/strong/pulliAssociates degree or Bachelors degree/liliAdministrative/clerical experience in healthcare/li/ul/div