Wheeling Hospital
Care Management Assistant (Full Time)
Wheeling Hospital, Wheeling, West Virginia, United States, 26003
Apply for the
Care Management Assistant
role at Wheeling Hospital.
This position provides support to the Care Management Team to ensure that the day‑to‑day operational functions of the department are met in a timely manner. It includes collaboration with third‑party payers, post‑acute providers, and timely, appropriate documentation within the electronic Care Management System.
Minimum Qualifications
High School diploma or equivalent.
Two (2) years of administrative experience.
Preferred Qualifications
Associate’s or advanced degree.
Two (2) years’ experience in a health care setting.
Hospital, home health, or payer relations experience.
Clerical experience in utilization management, discharge planning or case management.
One (1) year of ICD‑9/CPT coding or medical terminology experience.
Core Duties and Responsibilities
Greets visitors and health care personnel promptly and professionally; screens visitors and telephone calls to determine urgency and facilitates appropriate routing or referral.
Effectively communicates clinical information with payers to obtain authorization for post‑acute services/medications and documents interactions in the electronic medical record (EMR).
Participates in discharge planning activities (e.g., contacting post‑acute care facilities, community resources, and transportation) to ensure timely patient discharge and appropriate linkage with post‑acute providers.
Provides prompt feedback regarding payer determinations to Supervisor/Care Manager to evaluate/redirect current patient plans of care.
Functions as a placement specialist when required, researching preferred providers for HHC/DME/Acute Rehab/SNF/LTACH placement.
Proactively communicates any change in payer information to Supervisor/Care Manager and documents changes appropriately.
Verifies with patient financial counseling that all payment sources have been explored and updated in the patient’s EMR.
Participates in reimbursement, certification, and authorization related activities (e.g., faxing or copying required information).
Contacts and coordinates with referral agencies to arrange provision of ordered equipment and associated services when appropriate.
Collects copies and transmits pertinent clinical and patient demographic information required to complete arrangements for post‑discharge care and/or placement.
Coordinates and arranges transportation and community services as directed by Care Managers.
Provides secretarial and clerical support, including faxing, copying charts, filing, typing, and scanning.
Ensures payer and customer satisfaction through effective communication and positive customer service skills at all times.
Maintains confidentiality of communications.
Prioritizes tasks using independent judgment to ensure efficient use of time.
May serve as backup to the Administrative Assistant for Care Management in their absence.
Physical Requirements
Prolonged periods of standing or sitting.
Working Environment
Flexible hours to include weekends and holidays.
May include some patient interaction.
Skills and Abilities
Excellent verbal and written communication skills.
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
Basic computer knowledge and ability to operate standard office software.
Additional Job Details
Scheduled Weekly Hours: 40
Exempt/Non‑Exempt: Unpaid
Shift: United States of America (Non‑Exempt)
Company: WH Wheeling Hospital Inc.
Cost Center: 403 WH Care Management
Address: 1 Medical Park Drive, Wheeling, West Virginia
Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal‑opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
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Care Management Assistant
role at Wheeling Hospital.
This position provides support to the Care Management Team to ensure that the day‑to‑day operational functions of the department are met in a timely manner. It includes collaboration with third‑party payers, post‑acute providers, and timely, appropriate documentation within the electronic Care Management System.
Minimum Qualifications
High School diploma or equivalent.
Two (2) years of administrative experience.
Preferred Qualifications
Associate’s or advanced degree.
Two (2) years’ experience in a health care setting.
Hospital, home health, or payer relations experience.
Clerical experience in utilization management, discharge planning or case management.
One (1) year of ICD‑9/CPT coding or medical terminology experience.
Core Duties and Responsibilities
Greets visitors and health care personnel promptly and professionally; screens visitors and telephone calls to determine urgency and facilitates appropriate routing or referral.
Effectively communicates clinical information with payers to obtain authorization for post‑acute services/medications and documents interactions in the electronic medical record (EMR).
Participates in discharge planning activities (e.g., contacting post‑acute care facilities, community resources, and transportation) to ensure timely patient discharge and appropriate linkage with post‑acute providers.
Provides prompt feedback regarding payer determinations to Supervisor/Care Manager to evaluate/redirect current patient plans of care.
Functions as a placement specialist when required, researching preferred providers for HHC/DME/Acute Rehab/SNF/LTACH placement.
Proactively communicates any change in payer information to Supervisor/Care Manager and documents changes appropriately.
Verifies with patient financial counseling that all payment sources have been explored and updated in the patient’s EMR.
Participates in reimbursement, certification, and authorization related activities (e.g., faxing or copying required information).
Contacts and coordinates with referral agencies to arrange provision of ordered equipment and associated services when appropriate.
Collects copies and transmits pertinent clinical and patient demographic information required to complete arrangements for post‑discharge care and/or placement.
Coordinates and arranges transportation and community services as directed by Care Managers.
Provides secretarial and clerical support, including faxing, copying charts, filing, typing, and scanning.
Ensures payer and customer satisfaction through effective communication and positive customer service skills at all times.
Maintains confidentiality of communications.
Prioritizes tasks using independent judgment to ensure efficient use of time.
May serve as backup to the Administrative Assistant for Care Management in their absence.
Physical Requirements
Prolonged periods of standing or sitting.
Working Environment
Flexible hours to include weekends and holidays.
May include some patient interaction.
Skills and Abilities
Excellent verbal and written communication skills.
Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes.
Basic computer knowledge and ability to operate standard office software.
Additional Job Details
Scheduled Weekly Hours: 40
Exempt/Non‑Exempt: Unpaid
Shift: United States of America (Non‑Exempt)
Company: WH Wheeling Hospital Inc.
Cost Center: 403 WH Care Management
Address: 1 Medical Park Drive, Wheeling, West Virginia
Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal‑opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.
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