St. Luke’s Health System in Jerome is seeking a Case Management Assistant to join our Case Management team.
The Case Management Assistant is responsible for providing accurate and timely administrative and technical support to the case and/or utilization management teams, helping ensure a positive patient experience and effective coordination of care and utilization review processes.
Responsibilities:
- Provides support to the RN Case Managers, Social Workers and Utilization Reviewers. Assists with all aspects of case and/or utilization management functions, which may include activities such as prioritization and assignment of patients, authorizations and referrals, verification of patient information, benefit review, intake and screening, and coordination of services.
- Prepares and faxes necessary documentation/information to facilitate authorizations and referrals. Follows-up on authorizations and referrals by phone to ensure receipt and ensure all necessary information/documentation was provided. Receives and documents authorizations requested. Contacts insurance companies/payers/medical groups to acquire authorizations.
- Coordinates, generates and tracks both incoming and outgoing correspondence and faxes. Receives calls, faxes and portal submissions regarding authorization requests, process inquiries, and eligibility verifications; coordinating and communicating with providers and payers for plan members to facilitate receipt of information, and/or records for prompt review and response.
- Documents all relevant information in the electronic medical record according to policy and departmental guidelines. Assists department leadership in data management. Runs scheduled and ad hoc reports, as requested.
- Identifies potential issues in coordination or reimbursement of care, notifies appropriate personnel, and assists in resolution efforts.
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Performs job duties and coordinates with other members of the healthcare team to ensure appropriate compliance with state, federal, HIPAA, and Joint Commission regulations and requirements.
Other duties and responsibilities as assigned.
Qualifications:
- Education: Associate degree in a healthcare related field or 2 additional years of relevant experience
Experience: 2 years’ relevant experience
Licenses/Certifications: None
Why St. Luke’s:
A strong, talented staff is at the heart of St. Luke’s Health System. We are the state’s largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.
For more information, please contact Julie Leguineche at [email protected]
About Jerome
Jerome is a rural community of 12,000 just 10 minutes from Twin Falls, ID. Farming and agricultural related industries still dominate the economy of Jerome, but the city is broadening its economic base in the service sector, manufacturing and retail trade. In addition, residents are a quick drive to premiere hiking, skiing in Sun Valley and mountain biking!
Learn more about what the Magic Valley has to offer you:
City of Jerome | Perrine Bridge | Shoshone Falls | Snake River Canyon Rim Trails | Dierkes Lake | Idaho Heritage Museum | Herrett Center for Arts and Sciences | Orpheum Theatre | Faulkner Planetarium | Jerome Country Club
- St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
Source: Indeed.com
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