Care Coordinator Assistant (Utilization Management - Austin)

We are searching for a Care Coordination Assistant -- someone who works well in a fast-paced setting. In this position, you will provide non-clinical administrative support to the Care Coordination process including but not restricted to timely discharge planning and utilization management.

Think you’ve got what it takes?

Qualifications

Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption
•   High school diploma or GED required
•   Some college course work preferred
•   2 years’ experience in hospital care coordination/case management, home health, quality improvement or a related field required

Responsibilities
•   Provides department-related and other appropriate communications to internal and external customers
•   Provides professional, efficient, and courteous service to the customer while maintaining integrity in dealing with issues of a confidential nature
•   Receives initial / concurrent review requests, faxes updated review to payer (if available) and refers outstanding issues to Care Coordinator
•   Provides assistance for utilization management processes to maintain compliance with federal, state and managed care guidelines
•   Provides assistance for transition/discharge planning and care coordination processes to transition plans and enhance patient/family satisfaction
•   Assists with coordination of DME delivery, home care services, and other discharge planning activities under direction of the Care Coordinator
•   Assists Care Coordinators with discharge referrals by providing initial and follow-up phone calls to providers, assisting with paperwork completion and copying/faxing pertinent documentation as directed
•   Performs data entry of information obtained from Care Coordinators and payers
 

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