Case management assistant job description

As a Case Management Assistant, you will accurately arrange services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in order to ensure that appropriate continuing care services are in place for patient transitions. To help achieve our mission, you will communicate and document accurate clinical/financial information in both verbal and written forms in order to assist Case Managers and/or Social Workers in appropriate assessments, implementations and evaluations of patients' continuing care needs. Your ability to interpret and communicate payor requirements to Case managers, Social Workers, patients and physicians is required. Receiving and documenting benefit and contract level requirements in order to ensure the appropriate utilization of benefits and services is of vital importance. Your ability to support the case management outcome model through clinical, clerical and support services in order to assist with the planning, assessment and implementation of appropriate patient transitions is expected.
Job Responsibilities

* Conducts timely arrangements of services to meet customer requirements, as evidenced by measurement of turnaround time (request to completion).
* Addresses/solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned.
* Accurately communicates financial and clinical information to clinicians, patients, families, care team members and external customers.
* Accurately documents, as evidenced through chart review, clinical and financial patient information in order to assist with discharge, planning and access to continuing care services.
* Communicates with payor and documents detailed instructions on billing, authorization and utilization of services.
* Performs support services including faxing, data entry, filing and reception in order to assist with patient transition.
* Completes state and federal forms related to patient level of care, according to regulatory standards, in order to assist with patient transition.
* Anticipates needs of department and performs various duties to assist with the flow and management of patient care.

Requirements

Education: High School diploma or GED

Experience: 2 year of customer service. Two years preferred but not required in healthcare.

Knowledge of medical terminology.

* Managed Care (Full-Time, Day Shift) -

Our mission is to participate in Jesus Christ's ministry, bringing health, healing, and wholeness to humanity by: Creating a supportive faculty practice framework that allows Loma Linda University School of Medicine physicians and surgeons to educate, conduct research, and deliver quality health care with optimum efficiency, deploying a motivated and competent workforce trained in customer service and whole person care principles and providing safe, seamless and satisfying health care encounters for patients while upholding the highest standards of fiscal integrity and clinical ethics. Our core values are compassion, integrity, humility, excellence, justice, teamwork and wholeness.

The Case Management Assistant is responsible for assisting with case management in the daily utilization management functions of authorization, referrals, claims analysis, claims payment, data entry and chart review. Demonstrates working knowledge of managed care contract rates, terms, and conditions and accurately identifies member benefits. Cross covers all key areas of utilization management to ensure compliance with regulations. Functions independently with minimal supervision and takes responsibility for professional growth. Performs other duties as needed.

High School Diploma or GED required. Certificate or degree in business or healthcare field preferred. Minimum two years of experience with a home care agency, medical group, business office or managed care office required.

Able to keyboard 40 wpm. Able to use a computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to work calmly and respond courteously when under pressure; collaborate and accept direction. Able to think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.LVN ,MA or Managed Care related national certification preferred. Valid driver's license required at time of hire.
Additional Information

* Organization: Loma Linda Univ Health Care
* Employee Status: Regular
* Schedule: Full-time
* Shift: Day Job
* Days of Week: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday
* Monday Hours: 8.5
* Tuesday Hours: 8.5
* Wednesday Hours: 6
* Thursday Hours: 8.5
* Friday Hours: 8.5
* Sunday Hours: 6

McGuireWoods LLP has an opening for a Case Assistant in our Tysons, VA office within the Labor & Employment department. Qualities possessed by an ideal candidate include an interest in the legal profession, an eye for detail and accuracy, the ability to work well with team members, as well as strong technical and organizational skills.

McGuireWoods LLP is a full-service firm providing legal and business solutions to corporate, individual and nonprofit clients worldwide for more than 184 years. Our law firm has earned the loyalty of many longstanding clients with deep understanding of their businesses and broad skills in corporate transactions, high-stakes disputes, and complex regulatory and compliance matters. People come here to do great, challenging work and we provide the resources and training for them to succeed and develop professionally. Working together from offices in the U.S., Europe and Asia, McGuireWoods is dedicated to diverse perspectives, impeccable service, and innovative delivery of practical, business-minded solutions. For more information, visit www.mcguirewoods.com. California residents have special rights with respect to personal information. If you are a California resident applying for a position at McGuireWoods, our statement describes your rights and personal information the firm collects.
Responsibilities

* Manage calendars, docket and tickler systems, and assists in meeting deadlines.
* Coordinate mailings, deliveries, and copy jobs.
* Organize and maintain matter files, retrieve matter files, and prepare files for closing in accordance with Records Department procedures.
* Organize project and file rooms and coordinate movement of boxed records within facility or to off-site storage.
* Bates labels documents as requested.
* Organizes, labels and files case materials as directed.
* Prepares materials for shipment, including preparation of shipping labels.
* Maintains and organizes supplies to support client matters, including distribution of supplies and case files for special projects/events such as trial and on-site document reviews, collections and productions.
* Maintains and retrieves case files as requested and prepares closed matters for off-site storage.
* Processes production letters and other case correspondence and pleadings.
* Assists with document collection and maintaining e-rooms.
* Organizes document productions and prepares indices of document productions.
* Performs additional duties as directed.
* Performs miscellaneous record keeping.

Qualifications

* Bachelor's degree preferred; experience working in a law firm environment or interest in future legal education preferred
* Excellent technical skills and experience with Microsoft Office Suite (Word, Outlook, Excel, Power Point, etc.) is required
* Strong attention to detail and accurate filing skills
* Self-starter and team player
* Strong aptitude for technology and learning new systems