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Case Assessment Specialist

Company: Integris Health
Location: Oklahoma City
Posted on: May 23, 2020

Job Description:

The Case Assessment Specialist is responsible for evaluating and coordinating potential patients through the continuum of care into rehab and proactively plans and functions as the liaison between patient/family and/or referral sources with the rehab hospital.INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.Essential Functions:The Case Assessment Specialist responsibilities include, but are not limited to, the following:* Conducts inpatient clinical record review, reviews admission records and conducts pre-admission screening for potential post acute patients* Reviews patient medical records and patient progress to determine the level of rehabilitation program needed* Maintains working knowledge of Medicare guidelines, managed care and other financial information* Confers with Medical Director and/or associate on potential patients screened and communicates information with post acute teams* Ensures required documentation and information is completed prior to patient admission for entire post acute network* Acts as liaison between referral sources, physicians and patient to ensure smooth and timely process* Obtains pre-certification from insurance companies* Acts as a liaison between insurance company and the post acute venues of care* Maintains knowledge of community resources and the different venues of care and makes appropriate recommendationsComanche County Memorial Hospital only: Covers the Rehabilitation Case Manager position as needed. Competency for the essential functions assigned will be determined and include, but not limited to:* Assists physicians and hospital staff in appropriate utilization of resources through application of utilization criteria and facilitating timely discharge planning for patients.*Acts as a resource/advisor to physicians regarding discharge planning, medical record documentation, and all issues that may affect resource utilization and reimbursement.* Conducts audits on selected medical records by reviewing plan of care to assure interventions and frequencies are consistent with clients identified needs and agency resources and ensuring appropriate and complete documentation.Accountability:Reports to assigned supervisor, manager, or director.Required Physical Demands (Subject to Reasonable Accommodation):Keyboarding/Dexterity: Frequently; activity exists from 1/3 to 2/3 of the timeStanding/Walking: Occasionally; activity exists up to 1/3 of the timeStrength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)Talking (Must be able to effectively communicate verbally): YesSeeing: YesHearing: YesColor Acuity (Must be able to distinguish and identify colors): NoThis position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.Environmental Conditions:Exposed to traffic and high crime conditions when traveling to other areas in the metro OKC area as well as around the state of Oklahoma on a daily basis. Hazards are minimal if safety precautions are utilized. Exposed to weather conditions when traveling on a daily basis. May be required to work extended hours and weekends as needed.All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Keywords: Integris Health, Oklahoma City , Case Assessment Specialist , Healthcare , Oklahoma City, Oklahoma

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