Job Description:This position provides clerical and administrative support to enhance integrated care management for targeted populations and individuals. Facilitates communication with payers and authorization of services in accordance with regulatory and contractual requirements, patient and family-centered interdisciplinary care planning, effective care coordination, collaboration and communication between healthcare settings, and effective transitions to the appropriate level of care.Posting Specifics:
Pay Range: Non-Exempt
FTE: Part-Time
Shift: Days, 8 - 4:30 pm
ScopeAssigned to a specific care management operational area (i.e. acute care services, payer, community-based service(s), home care) supporting one or more patient populations and the care management team. Duties may vary by setting. Generally works under limited supervision, while acting on own initiative and direction. May orient, educate, or supervise other clerical employees.Job Essentials
Serves as the primary contact with payers, receiving and prioritizing requests and sending clinical information for authorization of services based on contractual requirements.
Promptly communicates utilization review needs, days authorized, denials, and other communication from the payers to care managers and physician advisors.
Collaborates with the revenue cycle staff and others to research payment sources.
Maintains a current list of contractual requirements and contact information by payer (as communicated by payer contracting). Promptly distributes new information and communicates changes to care management staff and leaders.
Requests and retrieves medical records from the Health Information Management for retrospective utilization or quality assurance review.
Delivers routine regulatory notices to patients in the required timeframe (i.e. 'Follow-Up Important Message from Medicare' at least one day before the patient's expected discharge date).
Performs a variety of specific clerical tasks to support care management services (i.e. prepares and prints reports; prioritizes and schedules appointments; distributes and/or communicates requests; retrieves phone; fax, email, and other messages and/or mail; scans and copies documents as needed).
Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
Supports a compliant patient choice process by ensuring online provider lists are current in all systems, distributes provider list to patients/families as instructed, prior to patient choice consult performed by the care manager/social worker.
Provides support for transition planning (i.e. prepares transfer packets for transition to post-acute/community-based facility or services; ensures resources and documents are routinely updated in the Integrated Care Management website; arranges transportation, confirms arrangements; communicates with the patient/family and next service providers).
Consistently documents all communication, actions, and information.
Promptly reports issues and concerns to the departmental chain-of-command.
Assists with special programs including data collection for process improvement projects.
Minimum Qualifications
Two years of healthcare experience.
Advanced computer skills (i.e. developing spreadsheets, creating charts and graphs, word processing, process flows, complex formatting, data manipulation, creating and running reports, creating presentations, and using multimedia content).
Two years of experience working in an office setting, working in a clerical position with keyboarding and data entry responsibilities, or working in customer service.
Experience coordinating projects.
Demonstrated interpersonal verbal and written communication skills including being proficient in spelling, punctuation, grammar, and other English language skills.
Demonstrated basic math skills.
Physical Requirements:
Interact with others requiring employee to verbally communicate as well as hear and understand spoken information.
Operate computers, telephones, office equipment, including manipulating paper requiring the ability to move fingers and hands.
See and read computer monitors and documents.
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
Anticipated job posting close date:04/12/2024Location:Utah Valley HospitalWork City:ProvoWork State:UtahScheduled Weekly Hours:20The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$19.08 - $29.04We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.To find out more about us, head to our career site here (https://intermountainhealthcare.org/careers/?utmsource=Workday&utmmedium=Redirect&utmcampaign=CareerHomeworkday) .Sign up for job alerts! Click ‘sign in’ at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [email protected] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.Learn more about diversity at Intermountain, here. (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/)Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.All positions subject to close without notice.Thanks for your interest in continuing your career with our team!