Caregivers / Health Care - Full Time
$21.73 per hourHackensack Meridian Health
At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. It’s also about how we support one another and how we show up for our community.
Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Care Coordination Specialist performs selected services and functions related Transitions of Care & Utilization Management, including insurance authorization, payer communications, Appeals and Denial information, and scheduling.
A day in the life of a Care Coordination Specialist at Hackensack Meridian Health includes:
In collaboration with the Care Coordinator (CC), reviews daily admission data to verify inpatient insurance coverage, pre-certs, authorized days, and reviews needed. Utilizes Information System to retrieve necessary information, inclusive of free text fields, to support the case management, utilization review process. and releases accounts as appropriate. Enters all documentation into EPIC/Applicable IT system for denials/ lower level of cares.
Contacts insurance companies for benefit coverage and obtains authorizations when needed. Ambulance Transport.
Post - Acute Care Referral Management
Manages Referrals to external facilities & services including but not limited to the following:
Assisted Living Facilities
Acute Rehab 3. Subacute Rehab New referrals & Returns
Hospice
Palliative Care
Wound Care
Home Health Services
Community Resources b. Obtains necessary supportive information from the medical record. As requested will arrange follow up appointments at MD`s office and/ or clinics. As requested faxes applications for Medication assistance. High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
Proficient computer, word-processing and Excel spreadsheet skills.
Ability to learn new computer systems, i.e.: EPIC, INDICIA.
Proficient computer skills that may include but are not limited to Microsoft Office and/or Google Suite platforms.
Health Care Experience.
Minimum rate of $21.73 Hourly
HMH is committed to pay equity and transparency for our team members. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness. Experience: Years of relevant work experience. Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training. Internal Equity: Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered. Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.
#J-18808-Ljbffr Hackensack Meridian Health
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