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Schedule

Full Time, Day Shift (80 hours biweekly)

Hours: Monday - Friday, 8:00am - 4:30pm

Rotation: Every 4th Weekend

General Summary

Performs a variety of duties related to facilitating the discharge planning process. Assists the Care Management team with the clerical functions. All tasks listed below may be expected in assigned daily work.

Essential Functions:

+ Assists with clerical functions (e.g., filing, copying, scanning, emailing, telephone, taking minutes)

+ Determines patient health insurance benefit information as requested by CMRN/CMSW.

+ Reviews payor logs and enters authorization information into EMR/patient record.

+ Receives denial information and records in EMR/patient record; forwarding same to assigned CMRN.

+ Initiates SNF authorizations as requested by CMSW/CMRN; followed by documentation of payor determination in EMR/patient record.

+ Completes discharge notification to varied insurance payors.

+ Assists CM team with IMM notices to patient.

+ Assists with medication pricing as requested by CMRN/CMSW.

+ Coordinates after care issues with the appropriate team members.

+ Supports the CM team by coordinating follow up PCP appointments.

+ Compiles data for and prepares regularly scheduled or special reports, analysis, and statements.

+ Reviews daily patient discharge list, routes incomplete VNA orders, identifies incomplete auth information, reviews final disposition Epic navigator for accuracy and completeness.

+ Works and maintains Incomplete Auth work queue; obtains delinquent authorizations and records in EMR.

Common Expectations:

+ Maintains Downtime computer terminal/ associated logs.

+ Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.

+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

Minimum Education:

+ High School Diploma or GED Required

Work Experience:

+ 2 years Relevant experience. Required

Licenses:

+ Basic Life Support Upon Hire Required

Knowledge, Skills, and Abilities:

+ Basic computer skills.

+ Telephone etiquette.

+ Good communication skills.

+ Medical terminology preferred.

Benefits Offered:

+ Comprehensive health benefits

+ Flexible spending and health savings accounts

+ Retirement savings plan

+ Paid time off (PTO)

+ Short-term disability

+ Educational assistance

+ Financial education and support, including DailyPay

+ Wellness and Wellbeing programs

+ Caregiver support via Weallthy

+ Childcare referral service via Wellthy

WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.

WellSpan Chambersburg Hospital

Established in 1895 and located in the heart of Franklin County, WellSpan Chambersburg Hospital has long served its South Central Pennsylvania community with award-winning care. WellSpan Chambersburg Hospital's 274-bed facility provides a community of 156,000 residents full-range inpatient, outpatient and emergent care services. The hospital is noted for its leading-edge technology and full range of medical services, including award-winning heart and stroke care, a cardiac catheterization lab, a family birthing unit and Level II NICU, inpatient rehabilitation, a wound center with hyperbaric oxygen therapy, and surgical services, including robotic surgery. At WellSpan Chambersburg Hospital, we work together to provide our neighbors with important health-related programs focused on disease prevention and management, early detection screening, and tools and resources to prevent disease through health fairs, seminars, children's events, "fun runs," and more. WellSpan Chambersburg Hospital was one of several WellSpan hospitals honored by U.S. News & World Report with the High Performing recognition for 2022-23.

Quality of Life

Franklin County, named after Benjamin Franklin, was officially formed in 1784. One of its two main towns, the borough of Chambersburg, lies 13 miles north of Maryland and is known for its "green, safe environment." In the southern part of Franklin County, the borough of Waynesboro sits just two miles north of the Mason-Dixon Line and is known for its rich industrial history.

Franklin County is in the heart of Central Pennsylvania, where you'll find mountains, lakes and a picturesque countryside coupled with theater, music, skiing, hunting, fishing and much more. We're in the heart of America's fruit orchards, so peaches, apples and lots of other local produce are available close by. The area features local wineries and breweries, along with a vibrant arts scene at the historic Capitol Theatre and Totem Pole Playhouse. Franklin County merges the best of small-town friendliness with easy access to metropolitan areas. (Patient population: 154,000)

WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.