Case Manager Assistant - Part time

University Hospitals Rehabilitation Hospital is proud to be recognized by Newsweek as one of America’s Best Rehabilitation Hospitals in 2024. A career at University Hospitals Rehabilitation Hospital, a 50-bed state-of-the-art, inpatient acute rehabilitation hospital operated jointly with Lifepoint Health and University Hospitals, is more than a job. It’s a chance to be a vital member of an interdisciplinary team caring for people in the Beachwood area who need continued care to recover completely. You have specialized skills and our patients in Beachwood need them! If you are an enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve our community, we invite you to apply!

Our Benefits\:

· Supportive leadership and culture

· Tuition assistance/reimbursement

· Low nurse-to-patient ratios

· Expansive benefit package including PTO plan, 401k + Match, and insurance coverage

· Professional development and advancement opportunities

· Targeted approach to career development

· Strong interdisciplinary teamwork opportunities

· Superior quality patient outcomes

What you will do in this role\:

♦ Provides assistance to the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team.

♦ Assists the case management team in scheduling family conferences.

♦ Assists the case management team by making necessary arrangements for post-discharge follow up care.

♦ Functions as the point of contact and liaison for the hospital Case Management Department staff regarding clinical insurance review completion and/or issues.

♦ Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews.

♦ Monitors, follow-up, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel [hospital staff, physician, DCM, Case Manager, Clinical Denial Management, and Centralized Business Office (CBO)].

♦ Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Lead CM/DQ and Case Manager

♦ College degree in healthcare related field preferred

♦ LPN or social work degree preferred but not required

♦ Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department. Proficient with WORD and EXCEL software, keyboard typing, and general office equipment.

• Effective oral and written communication skills in English, additional languages preferred.
• Basic computer skills in excel, word, outlook, power point, etc. required. University Hospitals Rehabilitation Hospital strives to maximize the health, function, and quality of life of those we serve through comprehensive physical medicine and rehabilitation programs. Our rehabilitation programs provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, intensive rehabilitation tailored to the individual needs of those recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury. We are accredited by The Joint Commission and CARF-accredited for our Comprehensive Integrated Inpatient Rehabilitation Program and Stroke and Brain Specialty Programs.