Senior Care Management Coordinator
MaineFull-TimeSenior
Salary not disclosed
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Job Details
- Experience
- Two years of experience
- Required Skills
- Communication SkillsAnalytical SkillsOrganizational skillsInterpersonal skills
Requirements
- Knowledge of financial and utilization review software such as ECIN and InterQual.
- Two years of experience in hospital care management.
- Strong organizational and analytical skills.
- Ability to work collaboratively in a team environment.
- Excellent communication and interpersonal skills.
- Experience with report analysis and compliance monitoring.
Responsibilities
- Facilitate efficient Care Management services.
- Monitor compliance with assigned responsibilities and coordinate with patient financial services.
- Conduct initial and continued clinical authorization reviews.
- Ensure coverage for 24/7 on-call processes and weekend coverage.
- Analyze reports on observation status reviews and actual discharges.
- Distribute results of reports on Care Management activities to staff.
- Ensure necessary documentation for clinical justification and reimbursement.
- Coordinate authorizations and clinical reviews with case managers.
- Maintain files for compliance with regulations and standards.
- Document and maintain meeting minutes.
- Complete bi-weekly payroll reports as required.
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