Part Time Case Management Technician

Job Description
Case Management Technician
Part-Time
Towson, MD
We are looking for talented professionals to join our team at University of Maryland St. Joseph Medical Center.
When you come to University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 224- bed suburban Towson, MD campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority.
As a team member at St. Joseph Medical Center, you’ll experience:
A supportive and collaborative work environment
A comprehensive benefits package including health, vision and dental coverage including prescription drug coverage – Tax-Free Savings Plans, Tuition Reimbursement, and generous paid time off.
Free Parking &
On-Site Fitness Center
Recognition:
We have a positive points recognition program designed to reward and recognize our outstanding employees;
employees can also recognize their peers
On-Site Daycare
General Summary
The Case Management Technician is responsible for supporting the core functions of discharge planning and utilization management, carrying out associated routine tasks. These include assisting with arrangement of post discharge resources such as returns to nursing home, home care, DME, and transportation services, and supporting communication between the hospital, customers and payors through phone, fax, notifications and data entry. Works under the under the direction of a licensed RN Care Manager or Social Worker.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified and may perform additional functions and other activities assigned.
Discharge Planning:
Arranges for transportation at discharge for patients requiring post-acute transfers via ambulance and wheelchair vans.
Under the direction of a licensed professional, and with consideration of the patient's insurance coverage, will make appropriate referrals to home care agencies via E-discharge.
Works effectively with external providers through good communication, complete- 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.
Responsible for the distribution of the Important Message from Medicare second notice per hospital policy.
Utilization Review:
Monitors commercial reviews through daily census reports, and payor logs to avoid denial of payment to the hospital.
Prints reviews and sends reviews through fax to payors within allotted timelines.
Answers calls and retrieves faxes from payors to determine certifications and denials of days for reimbursement.
Enters certified and avoidable (denied) days in MIDAS.
Creates logs of daily communication with payors.
Follows up on and completes all pending certifications.
Ensures payor satisfaction through positive and effective communication.