Case Manager Assistant

Company Description

Located in Largo in the heart of Prince George’s County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George’s County residents.

Job Description

Case Manager Assistant 
Full-time / Day-shift (Mon-Fri 7:30am - 4:00pm)
UM Capital Region Health - Largo, MD

POSITION SUMMARY

Supports the operation of the Case Management Department by performing a variety of administrative and coordinative duties to ensure compliant and timely documentation and tracking of patient information and in the general administration of the department.

Principal Duties:

1.   Coordinates with the unit administrative and care staff to identify and log in the shared audit file discharged Medicare patients requiring specialized documentation to include:  MOON letters and (Second) Important Message letters (IM).

2.   Tracks, records and maintains denial letters and other case information in the Midas information system.

3.   Tracks certified days and decisions from the Payor(s).

4.   Provides administrative liaison between the Case Managers and the Emergency Room.

5.   Ensures staffing information is obtained, verified, and updated on the daily staffing boards.

6.   Researches, responds to and/or refers to appropriate staff including department leadership patient questions, concerns and complaints.

7.   Maintains the Conference Room Calendar for Quality, Risk, Appeals and Case Management meetings.

8.   Prepares and provides Daily Census and Insurance Logs to the Hospital Case Managers. Distributes Insurance Logs to Payors in the absence of the Department Secretary.

9.    Assists with the preparation and distribution of training and resource materials to employees and external vendors.

10. Monitors staff time in the time and attendance system.

11. Verifies vendor invoices for accuracy, processes and submits for payment/check requests.

12. Transmits clinical documentation via Curaspan (edischarge) to Payors, Nursing Facilities or other stakeholders.

13. Coordinates events and functions with other departments.

14. Performs related duties as assigned.

Qualifications

Education/Knowledge 

Attained Level: High School Diploma or equivalent

Preferred:   Associates Degree

Completed Course Work/Program:  Preferred: Business, Healthcare Administration

Applicable Experience

Experience (years):          Required: 2 years                           Preferred: 3 years or more

Experience (describe required & preferred):  Two years of administrative experience. Prefer three or more years of experience in a healthcare facility serving the Medicare-eligible population.

Technical/Clinical Skills

Microsoft Office Suite Skill Level 

• Word: Basic                                                  
• Excel: Basic
• PowerPoint:  Basic                                         

Basic knowledge and working experience with Medical Terminology

Standard Office Equipment (list):   Computer/laptop/fax

Communication Skills & Abilities

Select highest applicable level:  Exchange Information on Factual Matters

Problem Solving/Analytical Skills & Abilities:

Administrative Support

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation

• Pay Range: $24.00-$30.70/hr
• Other Compensation (if applicable): N/A
• Review the 2024-2025 UMMS Benefits Guide