Administrative Skills, Case Management, Clinical Outcomes, Communication Skills, Content Management Systems (CMS), Denials Management, Health Plan, Healthcare Administration, High School Diploma, Hospital, Microsoft Excel, Microsoft Word, Organizational Skills, Patient Care, Problem Solving Skills, Registered Nurse (RN), Regulations, Team Player, Utilization Management
Description
Additional Position Details: FTE: 0.000001 | On Call | Variable Schedule Days
Starting Wage: $23.28-$32.02 per hour, depending on experience
Position Summary
The Case Management Specialist functions as a member of the Case Management team. They utilize communication, organizational, and problem-solving skills to carry out the post-hospital care plans and interventions, utilization review, and denials management activities as defined by the RN Discharge Coordinator and RN Utilization Reviewer. They assume a pivotal role with the patient care team to achieve optimal clinical and resource outcomes.
Position Qualifications
Experience
- 3 years of experience in administrative functions in care coordination and/or utilization management in healthcare settings is required.
- Experience with Microsoft Word and Excel is required
- Experience with EPIC is preferred
- Current understanding of CMS regulations related to hospital discharge requirements is preferred.
Education
- High School Diploma, GED, or equivalent experience demonstrating the ability to effectively communicate as required for the position is required
- An Associate's degree in business, healthcare administration, or a related field is preferred
Total Rewards
We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including:
- Competitive Pay: Hourly and salaried positions earn market-based compensation.
- Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
- Retirement Savings: Employer-sponsored retirement plan with company contribution and match.
- Paid Time Off: Generous ETO for part-time and above employees.
- Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program
- Additional Benefits: Life insurance, disability coverage, and employee assistance programs.
At Asante, we are guided by our values:
Excellence - Respect - Honesty - Service - Teamwork
Asante is proud to be an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.