What are the responsibilities and job description for the Care Management Resource Center position at Cleveland Clinic?
- Applicants must reside in Northeast Ohio
The Care Management Resource Center receives and
appropriately addresses all requests from the TCC/SW to ensure transitions of care are facilitated in a timely manner. As a Center Specialist, your responsibilities often include initiating the post-acute pre-certification process with facilities and insurance companies, making referrals to post-acute agencies and documenting the details of the discharge transition plan.
This is a remote role after training with on-site requirements occurring once per month. A caregiver in this position works from 9:00am to 5:30pm.
A caregiver who excels in this role will:
- Support the Transitional Care Coordinator and Inpatient Social Worker with specified non-clinical work.
- Initiate contact with payers to facilitate precertification for transfer to post-acute facilities, provide clinical documentation and ensure timely follow up calls.
- Initiate contact with post-acute agencies, provide updates as requested and facilitate placement.
- Facilitate 7000 forms by Healthcare Electronic Notification System (HENS).
- Place and close referrals in AllScripts Care Management.
- Handle calls from commercial payor case managers with questions regarding admitted patient’s discharge plans.
- Manage post-acute pre-cert process for commercial insurance patients needing pre-cert to post-acute facilities.
- Provide necessary verbal and electronic communication to and from care management staff, serving as a liaison between hospital personnel and the various agencies.
- Serve as a central hub communicator for discharge plan information.
- Completes data tracking and collection to assist with the identification of routine statistics and problems or trends.
- High School Diploma or GED
- Three to five years of current administrative/clerical experience working in healthcare or a related field
- Fluency in medical terminology
- Computer literacy
- Excellent verbal and written communication and organization skills
- Ability to perform work in a stationary position for extended periods
- Ability to operate a computer and other office equipment
- Ability to communicate and exchange accurate information
- Follows Standard Precautions using personal protective equipment as required.
Minimum hourly: $20.60
Maximum hourly: $27.57
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Salary : $21 - $28