Assist with non-clinical tasks associated with the UMAC Reverse Access Center (PAC) program. Work is performed under limited direction. Direct report to the Director, Performance & Business Innovation and UMROI Case Management Manager.

Duties include but not limited to: 

• Monitor patients referred to PAC sites using the IT platform selected by UMMS.
• Coordinate centralized insurance prior authorization for the PAC admissions. Coordinate the Manage
• Manage the denial and appeal process for PAC as it effects UMMS
• Provide daily PAC bed availability to care management stakeholders across UMMS.
• Provide daily home care and hospice in home appointment visibility to care management stakeholders across UMMS.
• Monitor data dashboards for accuracy and support performance improvement activities based on the key performance indicator data.
• Perform other duties as assigned

The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. 

• High school diploma or equivalency
• 1-2 years’ experience in healthcare, or related field.
• General knowledge of medical terminology and EMR experience preferred.
• Demonstrated ability to perform basic mathematical calculations including percentage, addition, subtraction, multiplication, and division.
• Ability to use a calculator.
• Ability to operate a computer, with working knowledge of the keyboard configuration.
• Ability to maintain confidentiality with patient and team member information.
• Ability to work independently with minimal supervision.
• Demonstrated resourcefulness, with ability to anticipate needs, prioritize responsibilities and take initiative.
• Detail oriented and ability to meet established deadlines.
• Effective skill managing multiple staff initiatives/priorities and meeting changing requirements and priorities to accomplish objectives.
• Effective skill developing and maintaining collaborative working relationships with all levels of leadership and staff.
• Effective analytical, conceptual thinking, planning, organizational, and problem-solving skills.
• Effective skill in the use of Microsoft Office Suite (e.g., Access, Excel, Word, Outlook, etc.).
• Effective verbal, written and interpersonal communication skills.

Ensure patient safety in the performance of job functions and through participation in hospital, department, or unit patient safety initiatives.

• Act to correct observed risks to patient safety.
• Report adverse events and near misses to appropriate management authority.
• Identify possible risks in processes, procedures, devices and communicate the same to those in charge.