University of Maryland Medical System Hiring for Case Manager Assistant at Largo, MD Full Time

THE MEDICAL HEART OF MARYLAND

Treating over 330,000 patients every year, the University of Maryland Medical Center is at the vital core of Maryland’s health care system and community. We’re known for our prestigious expertise in innovative research and education, along with the talented staff and advanced centers that make it all possible. The R Adams Cowley Shock Trauma Center, the world’s first center dedicated to trauma, treats more than 7,500 critically injured patients a year with an incredible 97 percent survival rate. We also have one of the nation’s largest kidney and pancreas transplant programs at The Joseph and Corinne Schwartz Division of Transplantation, home to Maryland’s first steroid-free protocol and pancreas/kidney transplant. From our National Cancer Institute-designated UM Marlene and Stewart Greenebaum Cancer Center to The University of Maryland’s Children’s Hospital, one of the largest pediatric centers in the state, we are dedicated to saving and transforming lives.

Job Description

Coordinates with the unit administrative and care staff to identify and log in the shared audit file discharged Medicare patients requiring specialized documentation to include: MOON letters and (Second) Important Message letters (IM).

Tracks, records and maintains denial letters and other case information in the Midas information system.

Tracks certified days and decisions from the Payor(s).

Provides administrative liaison between the Case Managers and the Emergency Room.

Ensures staffing information is obtained, verified, and updated on the daily staffing boards.

Researches, responds to and/or refers to appropriate staff including department leadership patient questions, concerns and complaints.

Maintains the Conference Room Calendar for Quality, Risk, Appeals and Case Management meetings.

Prepares and provides Daily Census and Insurance Logs to the Hospital Case Managers. Distributes Insurance Logs to Payors in the absence of the Department Secretary.

Assists with the preparation and distribution of training and resource materials to employees and external vendors.

Monitors staff time in the time and attendance system.

Verifies vendor invoices for accuracy, processes and submits for payment/check requests.

Transmits clinical documentation via Curaspan (edischarge) to Payors, Nursing Facilities or other stakeholders.

Coordinates Events And Functions With Other Departments.

Performs related duties as assigned

Qualifications

High School Diploma or equivalent

Two Years Of Administrative Experience Required

Three or more years of experience in a healthcare facility serving the Medicare-eligible population preferred

Additional Information

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