Care Management Coordinator

Job Summary Ensures that timely, accurate and complete data is submitted to appropriate insurance companies to guarantee prompt payments to Corewell Health. Communicates and collaborates with the multidisciplinary team through verbal and written communication. Participates with Care Team for the integration of the patient to the home or transitional environment by developing, planning, implementing and evaluating in accordance with current existing federal, state and local standards. Adheres to confidentiality policies specific to communications, patient confidentiality, record keeping and coordination services. Essential Functions Inputs data from various sources (insurance companies, admissions, certification, and other hospitals) into Care Management discharge planning software and insures communication to members of Care Team. Processes and prepares clinical reviews completed by Care Management Department (CMD) employees for confidential transmission to third party payers. Maintains ongoing communication between Corewell Health (CH) and third-party payers related to the number of hospital days authorized, additional requests for clinical information, anticipated discharge needs, etc. Supports specific third-party payers by obtaining authorization for services; providing accurate and timely admission/discharge dates; updating CMD and CH employees on any demographic changes; problem solving issues/concerns third party payer may have. Reports reviews needed to case manager. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. Performs other duties as assigned. Qualifications Required: High school diploma or equivalent. 2 years of relevant experience, related work in a clinical office or health insurance setting. Preferred: Associate’s degree. Shift and Status Casual, 8:00 a.m. to 4:30 p.m., variable days and weekends. Employment Type Part time, Shift Day (United States of America). Weekly Scheduled Hours 0.04 Hours of Work. Days Worked Monday to Friday. Weekend Frequency Variable weekends. Location Butterworth Hospital - 100 Michigan St NE - Grand Rapids. EEO Statement Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category. #J-18808-Ljbffr