Care Management Assistant - Wjmc

Your job is more than a job
Why a Great Place to Work:
You're more than your job. Everyone is. And that's what makes you great at your job-all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we've built a culture that supports and celebrates the extraordinary. You'll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you'll find that our everyday makes it easy to live your extraordinary.
Essential Function:
The Care Management Assistant works under direction to provide assistance with the utilization review process such as intake, transmission and tracking of clinical reviews to payors, assistance with coordination of post hospital care and service arrangements. Also provides assistance to ensure that all documentation, communication and information required to facilitate patient discharge is complete.
GENERAL DUTIES:
Clerical Support for Discharging Patients:
Participates in discharge planning activities as needed to ensure appropriate referrals to post-acute providers and timely patient discharges. Assists in the research for available preferred providers for post-acute care to meet the patient's needs for discharge. Contacts post-acute care providers and transmits information needed for the referral process. Provides follow up to ensure identification and communication of available resources. Collects, copies, and transmits pertinent patient demographic and clinical information required to complete arrangements for post-acute care and/or placement, as directed. Transmits transition of care documents to primary care physician and post-acute providers.
Clerical Support for the Utilization Management Process:
Facilitates timely transmission of reviews to the payers in coordination with the case management team. Communicates any pertinent information received from payers to relevant stakeholders. Supports and assists with concurrent insurance denials and appeals processes. Provides denial and non-certified day information to the appropriate stakeholders to reduce potential denials. Collaborates with other departments to ensure accuracy of patient and payer information.
Department Assistance:
Assists the department leadership in data management. Updates payer contact information in software system to ensure accuracy in review submission. Maintains accurate payer contact information to ensure accurate and timely communication. Validates and updates vendor information.
EDUCATION/EXPERIENCE QUALIFICATIONS
Combination of appropriate education and work experience is required:
High School Diploma/GED and 2 years of office/clerical experience in a healthcare setting.
4 years of experience is required in lieu of education.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
WORK SHIFT:
Variable Hours (United States of America)
LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary
About West Jefferson Medical Center
West Jefferson Medical Center, a cornerstone of LCMC Health's incredible community of care, is regionally recognized and nationally accredited. For over 60 years, we've been the hospital-of-choice on the west bank of Jefferson Parish for health, wellness, and family-centered care. Learn more about West Jefferson Medical Center and our Leapfrog "Grade A" Hospital Safety distinction
Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems - it's all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.