Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemIntegrated Care Partners ICP is a physician led clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current rapidly changing medical environmentPosition SummaryThe Clinical Resource Management Associate is an integral part of the Care Management team The Clinical Resource Management Associatersquos focus is on providing support and coordination of utilization management services for the utilization management departmentPosition ResponsibilitiesMonitors and manages assigned utilization management reports including the Payer End of Day report Utilization Management list Discharge Log and the Discharge Disposition report for payersMonitors and manages assigned EPIC work queuesUpdates EPIC with authorization and denial informationProvides the Clinical Resource Management Nurse with support for denials appeals and physician advisor communicationRetrieves manages andor triages department phone calls voicemails fax requests and Tiger TextsCommunicates with payers case management medical records and other departmentsScans and uploads documentation into the electronic health recordsPerforms routine and administrative tasks within the scope of non licensed personnelManages Certification Email processOther duties as assigned by supervisorWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemIntegrated Care Partners ICP is a physician led clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current rapidly changing medical environmentPosition SummaryThe Clinical Resource Management Associate is an integral part of the Care Management team The Clinical Resource Management Associatersquos focus is on providing support and coordination of utilization management services for the utilization management departmentPosition ResponsibilitiesMonitors and manages assigned utilization management reports including the Payer End of Day report Utilization Management list Discharge Log and the Discharge Disposition report for payersMonitors and manages assigned EPIC work queuesUpdates EPIC with authorization and denial informationProvides the Clinical Resource Management Nurse with support for denials appeals and physician advisor communicationRetrieves manages andor triages department phone calls voicemails fax requests and Tiger TextsCommunicates with payers case management medical records and other departmentsScans and uploads documentation into the electronic health recordsPerforms routine and administrative tasks within the scope of non licensed personnelManages Certification Email processOther duties as assigned by supervisorEducationHighSchool Diploma Medical AdministrativeAssistant certification preferredExperienceTwo yearsprofessional work experience in health care managed care or insuranceKnowledge Skills and Ability RequirementsStronginterpersonal and communication skillsEffective timemanagement skills able to work in a fast paced environment with changingprioritiesEffective organizationalskillsHighlevel understanding of confidentiality and HIPAA requirementsWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationHighSchool Diploma Medical AdministrativeAssistant certification preferredExperienceTwo yearsprofessional work experience in health care managed care or insuranceKnowledge Skills and Ability RequirementsStronginterpersonal and communication skillsEffective timemanagement skills able to work in a fast paced environment with changingprioritiesEffective organizationalskillsHighlevel understanding of confidentiality and HIPAA requirementsWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment