Care Management Coordinator – Utilization Review (40 Hours/Week, Days)

Wage Range: $20.57 - $32.92 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary:

EvergreenHealth is looking for a team player ready and willing to hop in and support our Nurse Case Management team. Specifically, this role will be pivotal in helping our team with insurance/payor communications, sending clinical information and providing general administrative support to our Care Management Department. This opportunity is a great way to get "behind the scenes" healthcare experience. Our ideal candidate is reliable, highly organized, and a strong communicator.

Primary Duties:
1. Coordinates care and discharge activities including post-discharge care facilities, home care and other community resources as directed by the Care Management clinicians.
2. Provides administrative support including word processing, data entry, filing, organizing and medical record management. Receives direct phone calls and/or voice mail messages and follow-up as appropriate.
3. Collects, copies, and transmits pertinent clinical and patient demographic information required to complete arrangements for post-discharge care and/or placement.
4. Ensures Durable Medical Equipment is arranged as identified by healthcare team.
5. Fields, triages, organizes, distributes other information requests.
6. Responds to requests regarding utilization management, including medical review agencies, insurance companies, healthcare team and community resources.
7. Proactively seek opportunities to improve abstraction and reporting efficiencies and identity non-clinical tasks within the scope of the role.
8. Work within multiple EMR and support tool systems and maintains confidentiality.
9. Practices fiscal stewardship in the role to ensure resources are appropriately utilized.
10. Completes special projects as assigned within scope of training and experience with direction and assistance of the Director, Manager or designee.
11. Performs other duties as assigned.

License, Certification, Education or Experience:

DESIRED for the position:
-Associates degree

• One (1) year experience in a medical setting
• Knowledge of community resources and referral process
• Familiarity with medical terminology
• Successful completion of a secretarial or equivalent program

Benefit Information:
Choices that care for you and your family

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Health Savings Account
• On-demand virtual health care
• Free parking
• Paid holidays
• Flexible Spending Account
• Tuition assistance for undergraduate and graduate degrees
• Commuter benefits
• Extended Illness Bank/Sick Leave
• Voluntary legal insurance
• Medical, vision and dental insurance
• Pay in lieu of benefits premium program
• Voluntary identity theft protection
• Paid Time Off/Vacation
• Federal Public Service Loan Forgiveness program
• Voluntary hospital indemnity insurance

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

2023 Benefits Guide