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Case Management Specialist
,
Category: Administrative
Reference ID: 10020778
Shortcut: http://addisongroup.gosnaphop.com/0I6hKR
Addison Group's client in McLean, Virginia is looking for a Customer Service/Case Management Specialist to join their team on a contract to hire basis. This role will be 100% on site initially and will transition to a hybrid schedule once training has concluded, and will pay $22-23 an hour and $54-55K upon conversion. Apply here to learn more!
Job Responsibilities:
- Maintains oversight of CMS team.
- Responsible for CMS scheduling and work-flow assignments.
- Responsible for training and continuing education for CMS team.
- Ensures CMA completes timely service arrangements for discharge planning/continuing care.
- Responsible for department scheduling with department leader.
- Addresses and solves provider and payor issues quickly with support from Case Management leader staff.
- Assigns and monitors CMS completion and delivery of mandated Observation and Medicare letters as directed.
- Monitors monthly outcome data to improve CMA team performance in conjunction with Department Leader.
- Accurately communicates financial and clinical information to clinicians, patients, families, care team members and external customers. Accurately documents, as evidenced through chart review.
- Completes state and federal forms related to patient level of care, according to regulatory standards, in order to assist with patient transition.
- Maintains all accounts receivable/payable functions for the department to ensure timely payments. Maintains and monitors the system Case Management program including reimbursement of all negotiated vendor contracts.
- Reviews and approves time/attendance for department staff on a biweekly basis. Performs periodic reviews to track employee time and attendance for department leadership. Submits any identified time/pay adjustments to Payroll in a timely manner.
- Maintains records of all system Case Management files and acts as liaison to Foundation, auxiliary and external vendors.
- Assists in monitoring the operational budget, in collaboration with department Director, related to funds disbursement and reconciliation.
- Performs other duties as assigned.
Requirements:
- Requires a High School Diploma or GED
- Three years of relevant professional experience
- Ideally bilingual in Spanish
Equal employment opportunities (EEO) to all employees and applicants for employment without
regard to race, color, religion, gender, sexual orientation, national origin, age, disability,
genetic information, marital status, amnesty, or status as a covered veteran in
accordance with applicable federal, state and local laws. Addison Group complies with
applicable state and local laws governing non-discrimination in employment in every
location in which the company has facilities. Reasonable accommodation is available for
qualified individuals with disabilities, upon request.
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