Job Information

AdventHealth Case Management Assistant FT Days in Tavares, Florida

Description

Case Management Assistant FT Days

AdventHealth Waterman

Location Address: 1000 Waterman Way, Tavares FL 32778

Top Reasons to Work at AdventHealth Waterman

  • Career Growth and Advancement Potential

  • Join a Faith Based, Non-Profit Healthcare Organization

  • Community Based Hospital Focused on Patient Care

Work Hours/Shift:

FT/Days

You Will Be Responsible For:

  • Oversees business functions on an ongoing basis. Business functions are defined as scheduling department meets, keeping and posting department meeting minutes, materials procurement, data management as directed.

  • Supports Director/Manager/Supervisor with special projects and maintaining department statistics

  • Coordinates clinical requests for reviews for all payors and maintains CPA (Cerner Patient Accounting) reports to facilitate work flow.

  • Supports discharge case managers in directing referrals, communicating patient information, and serving as liaison with physicians, hospital staff, and community agencies/liaisons.

  • Coordinate authorization/denial management communications with physician advisor, PFS, revenue management and registration.

  • Compile reports through Power Insight and Cerner/CPA for statistical data and reporting functions (ie: missing Medicare certifications, unsigned orders, register as orders and readmission detail).

  • Receive/direct telephone communications with case management department.

  • Coordinates and oversees the “Important Message from Medicare” hospital wide.

  • Provide administrative support for department supervisor, manager and director, coordinating calendar/meetings, prepares letters/other communications.

  • Maintain case management department mail and correspondence/files.

  • Oversees the vendor mate process as it pertains to community liaisons.

  • Manage/maintain departmental equipment and supplies

  • Monitors employee net-learning completion, relevant covered persons, fire safety, etc for hospital compliance.

  • Maintains required credentials/cards (BLS, Fit testing and licensure deadlines)

  • Maintain department time-keeping/payroll.

  • Maintains the Disaster List

  • Oversees the department volunteers/auxiliary staff.

  • Serves as a liaison/representative of Case Management to other Hospital Departments.

  • Other duties as assigned/requested by the department director/manager.

Qualifications

What You Will Need:

  • High school graduate or equivalent

  • Previous hospital case management experience preferred.

  • Knowledge of hospital authorizations/billing practices

  • Basic Life Support Certification

  • Associates Degree in a health-related field

Job Summary:

The Case Management Assistant (CMA) oversees the business functions of the department and is responsible for coordinating clinical requests for payers and assisting in the authorizations and denial management communication between Case Management and PFS. The CMA has a general working knowledge of payer specific documentation and authorization requirements. CMA assists in compiling data related to patient outcomes and auditing data for accuracy.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Category: Case Management

Organization: AdventHealth Waterman

Schedule: Full-time

Shift: 1 - Day

Travel: AdventHealth Waterman

Req ID: 21040502

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.