McLaren Health Care
Integrated Care Management Assistant Case Management
McLaren Health Care, Port Huron, Michigan, us, 48061
Integrated Care Management Assistant – Case Management
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Integrated Care Management Assistant – Case Management
role at
McLaren Health Care .
Position Summary:
Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as performing clerical functions to ensure the efficient operation of the ICM department.
Essential Functions and Responsibilities
Assists with facilitating discharge planning to expedite a successful transition of care.
Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.
Assists with the coordination post‑discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
Performs concurrent and retrospective utilization management‑related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.
Communicates pertinent documentation to nursing and home‑care facilities to expedite patient discharges for assigned patients.
Attends meetings and prepares agendas and minutes.
Handles incoming and outgoing office correspondence; answers and directs department phone calls as needed.
Performs general office duties including faxing, copying, scanning and filing, and orders department supplies.
Tracks and communicates bed availability at area extended care and rehab facilities.
Communicates with internal and external customers to answer questions.
Troubleshoots problems that arise with office equipment and notifies leadership of unresolved issues.
Performs other related duties as required and directed.
Required Qualifications
High school diploma.
Two years of clerical experience.
One year of experience in a health care environment utilizing medical terminology or completion of a college‑level course in medical terminology.
Preferred Qualifications
Associate’s Degree in a HealthCare related field.
Two years of case management or utilization review experience.
Three years of recent experience doing third‑party payer certification.
Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training Network.
Additional Information
Schedule: Full‑time.
Requisition ID: 25007453.
Daily Work Times: 8a‑4:30p.
Hours Per Pay Period: 80.
On Call: No.
Weekends: No.
Seniority level: Entry level. Employment type: Full‑time. Job function: Administrative. Industry: Hospitals and Health Care.
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Integrated Care Management Assistant – Case Management
role at
McLaren Health Care .
Position Summary:
Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as performing clerical functions to ensure the efficient operation of the ICM department.
Essential Functions and Responsibilities
Assists with facilitating discharge planning to expedite a successful transition of care.
Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.
Assists with the coordination post‑discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.
Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.
Performs concurrent and retrospective utilization management‑related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.
Communicates pertinent documentation to nursing and home‑care facilities to expedite patient discharges for assigned patients.
Attends meetings and prepares agendas and minutes.
Handles incoming and outgoing office correspondence; answers and directs department phone calls as needed.
Performs general office duties including faxing, copying, scanning and filing, and orders department supplies.
Tracks and communicates bed availability at area extended care and rehab facilities.
Communicates with internal and external customers to answer questions.
Troubleshoots problems that arise with office equipment and notifies leadership of unresolved issues.
Performs other related duties as required and directed.
Required Qualifications
High school diploma.
Two years of clerical experience.
One year of experience in a health care environment utilizing medical terminology or completion of a college‑level course in medical terminology.
Preferred Qualifications
Associate’s Degree in a HealthCare related field.
Two years of case management or utilization review experience.
Three years of recent experience doing third‑party payer certification.
Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training Network.
Additional Information
Schedule: Full‑time.
Requisition ID: 25007453.
Daily Work Times: 8a‑4:30p.
Hours Per Pay Period: 80.
On Call: No.
Weekends: No.
Seniority level: Entry level. Employment type: Full‑time. Job function: Administrative. Industry: Hospitals and Health Care.
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