Case Management Assistant (Part-Time) - Jefferson Washington Township

Job Details

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.

*Must be willing to float to all 3 NJ locations
*1 weekend shift commitment every 4 weeks
*Major Holiday commitment

Job Description

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. (Do not delete, move or over-write this statement)

· Negotiates with payers to obtain authorization for appropriate level of care and length of stay.

· Responsible for meeting insurer timeframes regarding review of clinical information.

· Provides prompt feedback regarding denials and other payer determinations to the Case Manager

RN and Physician Advisor.

· Obtain payer authorization and coordinate identified homecare, Durable Medical Equipment (DME),

transportation, infusion services and post-acute services for all identified patients.

Salary Range

The actual hiring rate will be determined based on candidate experience, skills and qualifications. This position is not eligible for an annual incentive.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Kennedy University Hospitals, Inc

Primary Location Address

435 Hurffville-Cross Keys Rd, Turnersville, New Jersey, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health