Case Management TechnicianReq #:0000203845 Category:Clerical / Administrative Support Status:Full-Time Shift:Day Facility:RWJ New Brunswick Department:Case Management Salary:$20.00 - $40.00 per hour Location: Main Hospital - New Brunswick, One Robert Wood Johnson Place, New Brunswick, NJ 08901 Job Title:Case Management Technician Location:Main Hospital - New Brunswick Department Name:Case Management Req #:0000203845 Status:Hourly Shift:Day Salary Range: $20.00 - $40.00, Hourly Pay Transparency: The above reflects the anticipated hourly range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: Provide internal and external coordination of administrative and other activities related to the development and implementation of functions related to the Case Management Department. Qualifications: Required: + High School Diploma or Equivalent + 5+ years administrative secretarial experience + Detailed knowledge and experience in Microsoft Word for Windows, PowerPoint, Excel, and Outlook and Microsoft Office + Excellent communication skills + Ability to meet deadlines and manage projects + Strong anticipation skills and forward-thinking, excellent communication skills + Able to interact at all levels with internal and external personnel Preferred + Associate/Bachelor's Degree Scheduling Requirements: + Working Shift: Monday Friday + Day Shift + Full-Time, 40 Hours Per Week Essential Functions: + Maintains all office IT needs + Provides consultation to intra and external departmental staff regarding data analysis and display + Utilizes personal computer to accurately type letters, memos, reports and minutes + Maintains policy and procedure manuals and ensures that material is entered into the index and filed appropriately + Maintains Director's and all Upper Management calendars and schedules meetings appropriately + Manages all weekend and on-call schedules for staff + Acts as backup to main office phone and manages upper management phone calls + Ensures the entry of data into Allscripts Denied days in an accurate and timely manner (e.g. entry of insurance appeal determinations) + Scans insurance logs, letters and other documents into Allscripts + Enters denials, approvals, clinical requests from Daily Logs + Tasking clinical requests to appropriate CM + LOI denial management, tasking and then following up on approvals + Appeals and denials area data collection and interpretation + Reviews and compares the hospital compare report to extract items such as outliers and interpret and present relative data that should then be shared with other departments and turned into actionable items + Conduct reviews of all of our regulatory items within the Utilization Management Department, and interpret trends in decreasing areas of percentage for discharge planning assessments + Reviews important messages from Medicare, Moon Forms, and CMS Regulatory items, in order to advise CM Leadership on where Corrective Action Plans may need to be placed Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks: At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: + Paid Time Off including Vacation, Holidays, and Sick Time + Retirement Plans + Medical and Prescription Drug Insurance + Dental and Vision Insurance + Disability and Life Insurance + Paid Parental Leave + Tuition Reimbursement + Student Loan Planning Support + Flexible Spending Accounts + Wellness Programs + Voluntary Benefits (e.g., Pet Insurance) + Community and Volunteer Opportunities + Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon + .and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer