Care Management Assistant jobs in United States
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WVU Medicine Camden Clark Medical Center · 1 day ago

Care Management Assistant

WVU Medicine Camden Clark Medical Center is seeking a Care Management Assistant to support the Care Management Team in daily operational functions. The role involves collaboration with third-party payers and post-acute providers, as well as documentation within the electronic Care Management System.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Greets visitors and health care personnel promptly and professionally; screens visitors and telephone calls to determine urgency of contact and to facilitate appropriate routing or referral; representing Care Management in a positive manner
Effectively communicates clinical information with payer to obtain authorization for post-acute services/medications and documents interactions in patient’s electronic medical record (EMR) along with timely communication with Care Management staff
Participates in discharge planning activities (e.g. contact of post-acute care facilities, other community resources and transportation) as needed to ensure a timely patient discharge and appropriate linkage with post-acute providers
Provides prompt feedback regarding payer determinations to Supervisor/Care Manager, enabling them to evaluate/redirect the current patient plan of care in order to streamline the delivery of service
Function as placement specialist, as required ,to include research for 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
Verify with patient financial counseling that all payment sources have been explored and updated in the patient’s electronic medical record (EMR)
Participates in reimbursement, certification and authorization related activities (e.g. faxing or copying required information) as required
Contacts and coordinates with referral agencies to arrange provision of ordered equipment and associated services when appropriate, as directed by Care Managers
Collects copies and transmits pertinent clinical and patient demographic information required to complete arrangements for post-discharge care and/or placement, as directed by the Care Managers
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
Using independent judgment prioritizes appropriately to ensure efficient utilization of time
May serve as back up to the Administrative Assistant for Care Management in their absence

Qualification

ICD9/CPT CodingMedical TerminologyHealth Care ExperienceUtilization ManagementBasic Computer KnowledgeCommunicationCollaborative Work

Required

High School diploma or equivalent
Two (2) years administrative experience

Preferred

Associates 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 ICD9/CPT Coding or Medical Terminology experience

Company

WVU Medicine Camden Clark Medical Center

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WVU Medicine Camden Clark Medical Center serves the Mid-Ohio Valley and surrounding region through a 302-bed, not-for-profit, acute care facility.

H1B Sponsorship

WVU Medicine Camden Clark Medical Center has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (11)
2023 (9)
2022 (9)
2021 (7)
2020 (6)

Funding

Current Stage
Late Stage

Leadership Team

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Carol Grove
Chief Nursing Officer
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Mary Jo Pedersen
Executive Partner
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Company data provided by crunchbase