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Optalis Healthcare
Riverview, MI | Full Time
$73k-88k (estimate)
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Case Manager
Optalis Healthcare Riverview, MI
$73k-88k (estimate)
Full Time 11 Months Ago
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Optalis Healthcare is Hiring a Case Manager Near Riverview, MI

Insurance Advocate Coordinators “Case Managers” are responsible for retrieving and inputting data from the facility IDT team documentation and submitting it to managed care insurance companies to advocate for continued stay coverage. The Case Manager is additionally responsible for submission of reports, excel spread sheet development, auditing records and communication both internally and externally for the facility. .
Minimum Qualification Standards:
  • Successful completion of High School Education requirements.
  • Preferred Social Worker or Nurse
  • Able to carry out the essential functions of this job.
  • Able to maintain a clean and well-groomed personal appearance.
Essential Job Functions:
  • Retrieve medical information from Patient EMR and submit continued stay authorizations via various portals and fax processing formats.
  • Verify insurance, summarize authorizations, communicate with IDT team via phone and email and input medical information into Point Click Care
  • Provide information to nurse liaisons for medical evaluation/review
  • Correspond with care coordinators from all managed care entities requesting clarification or additional information.
  • Perform clerical responsibilities which may include notice of authorizations or issuance of NOMNCs.
Performance Requirements:
  • Communication and "people" skills
  • Must be polite and cooperative at all times to patients, family and fellow staff members
  • Organized, detailed oriented and able to time manage multiple tasks
  • Be able to maintain composer during challenging situations
  • Computer, scan, portal usage proficient
  • Self-starter and can function with little direction
  • Medical knowledge and terminology
  • Knowledge of various insurance companies and the role of managed care in the facility
  • Appreciates the importance of maintaining confidentiality of resident and facility information
  • Demonstrates honesty and integrity at all times in the care and use of resident and facility property
  • Able to interact effectively with multidisciplinary team, insurance providers, patients and family members.
Job Type:
Full-time position will be 40 hours per week
This position will be M-F 8:00 a.m. - 5:00 p.m.
May include an occasional Sunday to prepare for an exceptionally busy Monday.
Will include the need for remote support to assist in covering time off of other case managers at other buildings within the Optalis Corporation.

Job Summary

JOB TYPE

Full Time

SALARY

$73k-88k (estimate)

POST DATE

06/18/2023

EXPIRATION DATE

05/18/2024

WEBSITE

optalishealthcare.com

CEO

Yannie Briones

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The following is the career advancement route for Case Manager positions, which can be used as a reference in future career path planning. As a Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Case Manager. You can explore the career advancement for a Case Manager below and select your interested title to get hiring information.

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