Job Description

I. General Summary

• A Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, and carrying out associated routine tasks. These tasks include assisting with arrangement of post discharge resources such as returns to nursing home, home care, DME, and transportation services. The role also assists with communication between the hospital, customers and payors through phone, fax, notifications and data entry. The technician works under the direction of a licensed RN Care Manager or Social Worker.

 

 II. Principal Responsibilities and Tasks

• Assists the Case Management team with post-acute set up.

• Arranges transportation for patient discharging via ambulance/wheelchair van.

• Makes referrals to home care agencies via CCSC in EPIC under the guidance of a Case Manager or Social Work partner.

• Works effectively with external providers through good communication, completes documentation and follow-through to ensure efficient and smooth transition for the patient.

• Effectively communicates with the healthcare team regarding discharge planning activities and status.

• Assists with the distribution of the Important Message from Medicare discharge notice and MOON per policy.

• Monitors all referrals made through EPIC. • Submits insurance authorizations via fax/insurance portals.

• Prints reviews and sends reviews through fax to payors within allotted timelines.

• Ensures Payor satisfaction through positive and effective communication.

• Responsible for logs for clear communication with payers and UM team.

• Provides follow up to UM team on approvals and denial, peer to peer information.

• Monitors commercial reviews through daily census reports, and payor logs to avoid denial of payment to the hospital

Company Description

When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you’ll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A’ hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we’ve been consistently recognized as a top employer by Baltimore magazine. 

Qualifications

• High School Diploma or GED is required. Combination of relevant education and experience may be considered in lieu of education.

• A vocational/technical degree is preferred.

• 0-1 year of related technician experience in a hospital setting is required.

• 0-1 year of experience in a hospital/health care setting is required.

• 0-1 year experience with medical terminology.

• CNA is preferred
 

Additional Information

• Strong Verbal and Written Communication

• Basic Computer and Clerical Skills

• Strong Customer Service Skills

• Excellent Interpersonal Skills

• Excellent Organizational Skills

 

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

 Compensation

Pay Range: $18.98-$24.08Other Compensation (if applicable):Review the 2024-2025 UMMS Benefits Guide