Case Management Asst./discharge Planner- Abington

Jefferson Health

Abington, Pennsylvania, United States
Utilization review process
Communicate clinical information to payers
Coordinate post-hospital care
Works under the direction of the Manager of Case Management and Case Manager RN to provide assistance with the utilization review process, including communicating clinical information/reviews to third party payers to ensure certification/approval of inpatient and post-hospital services

Job Summary

  • Works under the direction of the Manager of Case Management and Case Manager RN to provide assistance with the utilization review process, including communicating clinical information/reviews to third party payers to ensure certification/approval of inpatient and post-hospital services.
  • Assists with the coordination of post hospital care and service arrangements.
  • Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits.

Matching Summary

Works under the direction of the Manager of Case Management and Case Manager RN to provide assistance with the utilization review process, including communicating clinical information/reviews to third party payers to ensure certification/approval of inpatient and post-hospital services.

Skills & Requirements

Must-have

  • Utilization review process
  • Communicate clinical information to payers
  • Coordinate post-hospital care
  • Negotiate with payers
  • Meet insurer timeframes

Nice-to-have

  • Work with a variety of individuals
  • Manage multiple concurrent objectives

Key Requirements

  • High School Diploma
  • Two years of experience in a health care setting preferred
  • Computer literate
  • Strong knowledge of medical terminology

Work Rights

Not specified

Tailored Resume

Cover Letter