Care Management Assistant, Full Time, Days
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Long Island Community Hospital has served this richly diverse region as a patient-first community hospital for more than 60 years. As Long Island's only independent community hospital, we are 100% committed to becoming the community's healthcare provider of choice with our greatly enhanced servicesincluding the Knapp Cardiac Care Center, our highly-advanced heart disease diagnosis and treatment facility, our new modern surgical pavilion, our unique ER approach, and our high-touch services including women's imaging, sleep laboratory and orthopedics and more. These services are delivered with the highest level of compassion by our LI Community Hospital staff - Long Islanders with an unmistakable mix of courage and heart who care about the people right here in our community and whose sole purpose is to provide personalized comfort. For more information, go to licommunityhospital.org, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter, YouTube and Instagram.Position Summary:We have an exciting opportunity to join our team as a Care Management Assistant, Full Time - Care Management - Full-Time - 08:30 AM - 04:30 PM Monday - Friday.In this role, the successful candidate Working under the direction of the RN Care Manager and LCSW provides assistance in setting up post hospital care and services Provides support to ensure that all care management documentation communication and information required to facilitate the discharge process are complete Assists the Care Manager in the discharge planning process by assisting with the intake tracking and communication of reviews to the payer The main function of a case assistant is to provide support to case managers While the exact job responsibilities vary by setting they generally include performing administrative tasks such as maintaining case files updating referral information and verifying information related to health insurance or benefits At time the case assistant may be required to interact with clients perform initial intake interviews to determine the type of problem or need support development of discharge plans in conjunction with case managers or social workers and aid in the review of treatment progressJob Responsibilities:1 Transition PlanningPerformance Expectations:Participates in discharge planning activities as needed to ensure a timely patient discharge and appropriate linkage with post acute providersAssists in the research for preferred providers available to provide post hospital care to meet patient's needsContacts post acute care providers and transmits information needed for referral process and follows up to ensure timely communication and identification of available resourcesObtains payor certification for post acute services; 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 and social workers; Coordinates and arranges transportation DME and community services as directed by the care managers and social workers; Maintains a working knowledge of community agency resources as required for role2 Utilization ManagementPerformance Expectations:Facilitates timely transmission of reviews to the payors in coordination with the care management teamCommunicates initial and concurrent clinical review information from CaseManagers to payors via telephone and faxCommunicates any pertinent information received from payers to Care ManagersSupports and assists with concurrent insurance denials and appeals processDocuments denials by type payor and appeal outcomeProvides denial and non certified day information to Case Managers to reduce potential denialsCollaborates with Patient Access and Patient Financial Services to ensure accuracy of patient and payor informationCommunicates updated information in a timely fashionEnsures payor and customer satisfaction through effective communication and positive customer service skills at all timesUpdates pay or contact information to ensure accuracyMinimum Qualifications:To qualify you must have a High School Diploma or GED Knowledge of medical terminology Computer skills: Word processing spread sheets email Excellent interpersonal skills in order to effectively communicate with internal and external customers Excellent organizational and analytical skills necessary to manage multiple task simultaneously Able to work in a team structure Self directed able to work independently Good oral and written communication skillsPreferred Qualifications:Some knowledge of contractual reimbursement methodology Some knowledge of insurance agencies and authorization process Some knowledge of community agencies/resources preferred Healthcare background preferred Hospital experience a plusQualified candidates must be able to effectively communicate with all levels of the organization.Long Island Community Hospital provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents.Long Island Community Hospital is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.View Long Island Community Hospital's Equal Employment Opportunity (EEO) policy, the Federal EEO is the law poster, or visit for more information.Long Island Community Hospital provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $31,304.39 - $47,221.70 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.View the Pay Transparency Notice for further details.