Case Management Asst./Discharge Planner- Abington

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.


Discharge Planner works with the Care Management Department. Their role is to complete all post-acute authorizations, set up all transportation, and other duties as assigned. Weekend rotation may be required.

Job Description

Schedule: coverage between M-F 8-4:30pm; 9-5 and10-6, Weekend rotation, Holiday rotation included

Full time, 40 hours per week

Essential Functions
• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson.
• 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.

Competencies (Knowledge, Skills, and Abilities Required):
Knowledge of the techniques and the ability to work with a variety of individuals and groups in a constructive and collaborative manner.
Ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation

Minimum Education and Experience Requirements:
Education:
High School Diploma – required
AND
Experience:
Two years of experience in a health care setting preferred. Computer literate, strong knowledge of medical terminology required

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1200 Old York Road, Abington, Pennsylvania, 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.