Case Management Assistant - Patient Care Coordination - Full Time​/Days - Req#2134710301

• Location 1600 West Avenue J,Lancaster, CA, 93534,United States
• Base Pay $23.72 - $36.62 / Hour
• Job Category Case Management Assistant, PCC
• Employee Type Regular
• Required Degree High school

Under the direction of the Director of Case Management, or designee, the Case Management Assistant supports the functions of the Patient Care Coordination department by performing a wide variety of administrative duties.

• Facilitates communication to department team members from internal and external sources by coordinating telephone calls and messages
• Utilizes and documents in the computer systems to facilitate case management workflow and communication
• Monitors computer system for admission and continued stay insurance authorizations notifying the Case Manager when a clinical update is needed
• Submits clinical reviews to appropriate review agencies and documents in the computer system
• Follows up with review agency for authorized days and documents in the computer system
• Coordinates the retroactive utilization process by tracking accounts needing reviews, ordering medical records, submitting completed reviews and documenting authorizations or denials
• Coordinates the insurance authorization process with appropriate hospital departments.
• Assists with referrals to other facilities, home health agencies, and DME agencies
• Arranges ambulance, as well as other forms of medical and taxi transportation
• Provides support to the discharge coordination process

• Answers telephone calls and greets customers in the department with the highest level of customer service
• Coordinates mailing of department documentation
• Assists the department director with payroll reporting and processing
• Establishes and maintains an accurate detailed record for the department billing and payment of vendor claims
• Prepares and records department check requests and purchase orders
• Efficiently and cost effectively orders and organizes office supplies
• Prepares letter, memos, and other documents
• Assists with scheduling of meetings and provides clerical support as needed
• Sorts and distributes office mail
• Maintains department records for regulatory compliance purposes as indicated.
• Other duties as assigned within skill sets and abilities.
• Assist with other duties as assigned, within skill sets and abilities

• Familiar with Government, State, HMO, PPO, Commercial, and Workers Compensation authorization and billing guidelines
• Working knowledge of Microsoft Office applications
• Knowledge of medical terminology

• Knowledge of basic personal computers
• Proficient in the operation of scanners, copiers, fax machines Good oral and written communication skills Good interpersonal skills and customer focus

• Ability to handle stress
• Ability to manage a heavy caseload in an organized and efficient manner
• Ability to maintain a working relationship with other departments within the organization
• Ability to document account information at time of account follow-up
• Ability to run case management related reports as needed

Accountability

Action Oriented

Customer Focused

Compassion

Effective Communication

Teamwork

Ethics & Values

Integrity & Trust

• High School graduate or equivalent

• Minimum 2-years healthcare related office experience, preferably in an acute care setting

• None

• Ability to adhere with AVH Leaves of Absence Policy
• Ability to adhere with AVH Paid Time Off (PTO) Policy
• Ability to adhere with AVH Recording of Hours Worked Policy
• Ability to adhere to the department dress code
• Ability to organize work and establish priorities
• Ability to expand on own initiative in performance of duties
• Skill and ability to follow the telephone etiquette/standards
• Conforms to AVH Standards of Excellence
• Ability to function effectively under pressure and meet time parameters
• Ability to communicate effectively while maintaining good working relationships with coworkers, managers and other hospital staff
• Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH
• Ability to maintain the confidentiality of patient, hospital and department information
• Ability to adhere to safety rules and regulations
• Safely and effectively uses all equipment necessary to carry out duties
• Ability to interpret and function under hospital and department policies and procedures
• Conforms with required and appropriate Joint Commission requirements
• Conforms with and supports hospital quality assurance and improvement guidelines
• Ability to participate effectively in department and hospital staff education
• Display a willingness to work as a team player
• Ability to give and support the highest level of patient/customer satisfaction at all times
• Supports and adheres to the values and mission…