Under limited supervision, assists Care Management team with a variety of administrative functions. Coordinates within the CM team as well as with other disciplines throughout the hospital to ensure smooth care transitions. Responsible for maintaining hospital compliance with a variety of documentation, including but not limited to, IMM, MOON, and OBS letters. Also responsible for obtaining prescription authorizations, Skilled Nursing authorizations, making PCP appointments for patients as well as conducting follow up discharge calls to patients who have been recently discharged.

Education:
Bachelor’s degree or equivalent experience preferred
Experience:
Three years’ experience in a health care setting preferred
Three years’ customer service experience preferred
Skills:

Knowledgeable of available community resourcesAdvanced skills in oral and written communicationSkill in organizing workload and balancing many tasksSkills in time managementSkills in data and statistical analysisAbility to evaluate data gathered for medical plan of treatment

Physical Requirements

Ability to concentrate and pay close attention to detail, walk around the hospital from patient room to patient room as well as travel to other units around the organization.Ability to work off of work queuesSpeak with patients and families to deliver letters, answer questions etc.Call pharmacies as well as insurance companies to obtain authorizations

Working Conditions

Work is performed inside the organization’s offices, patient care units, or in patient rooms. Job attendance is required during all types of weather conditions. 

Patient & Workplace Safety: 

Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. 

Patient Population: 

Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. 

Principal Duties and Responsibilities

Ensures that  IMM, OBS, MOON letters are given to patient in a timely manner to meet  all regulations.Ensures delivery of the Secondary IMM letterResponsible for delivery of Medicare Important Message (IMM) letter, Acknowledgement of Outpatient Services letter, and MOON letter, distribution and discussions.Schedules appointments with primary care physicians (PCPs) for patients at high risk for re-admissions.Assists Care Management team with a variety of administrative tasks including, but not limited to: Discharge paperwork, Faxing, Referrals, Follow-up phone calls, PCP appointments, AuthorizationsDocumentation in EPIC of work completed in notes, work queues, Media section for forms as well as PCP appointments, AVS and discharge summary

GBMC ValuesValue Description

Respect

Treats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

Meets and/or exceeds customer expectationsActively pursues learning and self developmentPays attention to detail; follows through

Accountability

Sets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on time

Teamwork

Works cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of others

Ethical Behavior

Demonstrates honesty, integrity and good judgmentRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

Embraces change and improvement in the work environmentContinuously seeks to improve the quality of products/servicesDisplays flexibility in dealing with new situations or obstaclesAchieves results on time by focusing on priorities and manages time efficiently

Pay Range

$18.86 - $28.30

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

COVID-19 Vaccination

All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.