Your job is more than a job.
Responsible for ensuring all patients receiving services in the TRC are registered appropriately for services. The candidate will contribute to creating a friendly, welcoming and safe environment, develop relationships based on trust with patients and families utilizing a trauma-informed approach. Important attributes include: the ability to communicate clearly, demonstrate caring to the survivors of violence and their families, the ability to work in a team environment.
Your every day
Provides clerical support to the case management team in the discharge planning process:- Participates in discharge planning activities as needed to ensure appropriate referrals to post-acute providers and timely patient discharges.- Assists in the research for available preferred providers for post-acute care to meet the patient’s needs for discharge.- Contacts post-acute care providers and transmits information needed for the referral process. Provides follow up to ensure identification and communication of available resources.- Collects, copies and transmits pertinent patient demographic and clinical information required to complete arrangements for post-acute care and/or placement, as directed.- Transmits transition of care documents to primary care physician and post-acute providers.Provides clerical support in the utilization management process:- Facilitates timely transmission of reviews to the payors in coordination with the case management team.- Communicates any pertinent information received from payors to relevant stakeholders.- Supports and assists with concurrent insurance denials and appeals process.- Provides denial and non-certified day information to the appropriate stakeholders to reduce potential denials- Collaborates with other departments to ensure accuracy of patient and payor information.Assists the department leadership in data management:- Updates payors contact information in software system to ensure accuracy in review submission.- Maintains accurate payer contact information to ensure accurate and timely communication.- Validates and updates vendor information.The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Your must haves
MINIMUM QUALIFICATIONS
WORK SHIFT:
Days (United States of America)LCMC Health is a community.
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary
About University Medical Center
University Medical Center, a world class academic medical center in LCMC Health’s incredible community of care, is the largest medical training center for healthcare professionals in Louisiana and has long served as the region’s safety net hospital for poor and underserved communities for 300+. Learn more about University Medical Center’s legacy and our vision of becoming the epicenter of medical care, education, and research.
Your extras
Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems – it’s all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we doYou are welcome here.
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
Simple things make the difference.
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.