Disease Management Case Manager jobs in Minnesota
Disease Management Case Manager coordinates the overall interdisciplinary plan of care for a patient in a disease management program, from admission to discharge. Acts as a liaison between patient/family, employer and healthcare personnel to ensure necessary care is provided promptly and effectively. Being a Disease Management Case Manager responsibilities include but are not limited to documenting case progress, identifying health risks, and reporting the findings of the case study at appropriate intervals. Requires an associate's degree/bachelor's degree, and is licensed to practice nursing. Additionally, Disease Management Case Manager typically reports to a supervisor or manager. Disease Management Case Manager's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)
Recently Added Disease Management Case Manager jobs
Disease and Case Management Assistant
- HealthPartners
-
Bloomington, MN
FULL_TIME
-
Position Title: Disease and Case Management Assistant
Department: Disease and Case Management
Grade: E
QUALIFICATIONS:
REQUIRED TESTING:
Alpha Numeric Data Entry (6,000 Key Strokes per hour)
Medical Terminology
REQUIRED:
High School diploma or GED
Two years customer service experience in a medical office or office setting that includes experience working with medical systems and services, and insurance coverage
One year computer experience working with Microsoft Word and Excel with demonstrated ability to develop and maintain spreadsheets.
One year experience working with databases.
Demonstrated ability to communicate professionally through multiple avenues including face to face, email, and telephone.
Ability to identify and troubleshoot issues and communicate to the appropriate staff.
Ability to deal effectively with tight deadlines with a high degree of accuracy and attention to detail.
Demonstrated ability to deal effectively with varying workloads.
Demonstrated ability to multitask and prioritize work.
Demonstrated ability to work independently and as part of a team.
PREFERRED:
Experience working with HealthPartners Customer Service System (HCSS), AHF/Smart Term Production, CarePartner, or EPIC.
PHYSICAL REQUIREMENTS:
This position requires the use of close, visual perception and normal manual dexterity. Must be able to sit or stand for prolonged periods of time. Must be able to speak, read and write English fluently.
POSITION PURPOSE:
To provide support for the on-site and off-site Disease and Case Management staff by processing information related to case management services, providing case management support, and performing data entry in a variety of databases.
Service excellence is to be centered on patient care and patient relationships and is the responsibility of all employees. Teamwork is the norm and all employees will be held accountable to work as effective team members.
ACCOUNTABILITIES:
Responsible for hospital Electronic Authorization Admissions which includes verifying diagnosis, hospital unit, insurance and eligibility coverage, and creating authorizations as needed. Communicate information with appropriate person(s) and/or departments if electronic admissions are not available; this includes, QUI, MMSG, IS&T, Case Management Staff, Supervisors, and hospital.
Responsible for the Inpatient Intake Line daily. This includes: identify, investigate (as needed) and transfer call to the appropriate case manager or department. Follow up as needed.
Responsible for monitoring Hospital Error reports including: reviewing and identifying missing information, verifying insurance coverage, providing correct information to appropriate person(s) and/or department, documenting correct information for validation, creating authorization and assigning as needed.
Responsible for monitoring Inpatient RightFax including; regularly checking for incoming faxes, assigning faxes with pertinent hospital or patient information, forwarding incoming faxes to appropriate case managers’ folders, investigate and respond to any fax or data issues and follow up accordingly.
Responsible for filling daily request for clinical information including; reviewing case managers work queues in CarePartner for various clinical request, faxing or calling hospitals to request clinical information, inputting clinical information into the CarePartner authorizations.
Responsible for creating Complex Newborn Admission Notifications including; verifying insurance coverage and pertinent information in CarePartner, HCSS and AHF. Calling or faxing hospitals to verify patient admission, level of care and all pertinent information. Building CarePartner cases and authorizations. Retaining notifications for daily tracking of eligibility is HCSS and AFH production. Notifying Membership Accounting with appropriate patient information. Appropriately migrating complex cases. Follow-up as needed with appropriate person(s) and/or departments.
Responsible for monitoring the Inpatient Case Management Outlier admission authorizations work queue including; reassigning authorizations to correct work queue/case manager. Verifying discharge date with hospital, requesting clinical for patients that are still hospitalized, enter discharge dates, reviewing and closing authorizations for patients that have been discharged and following up as needed with appropriate person(s) and or departments.
Create authorizations and cases in CarePartner including; creating, editing, migrating, linking, invalidating, and closing cases and authorizations. Entering discharge dates, diagnosis codes, and disposition code and assign case manager or work group. Follow up as needed with appropriate person(s) and or departments.
Maintain complete and accurate written procedures and documentation for functions performed in the department for the InPatient Authorization Processes.
Maintain and update all medical facility contact information associated with InPatient Authorization Processes.
Identify and report opportunities for improvement in process and documentation.
Determine work priorities in order to assure the successful and accurate completion of tasks or projects to ensure deadlines are met.
Share technical skills; act as a resource for co-workers.
Utilize HCSS/AHF Production systems to obtain and verify HealthPartners eligibility.
Work with HealthPartners Membership Accounting to identify medical coverage: effective and terminated coverage.
Collaborate with and act as a liaison between case managers, supervisors, Membership Accounting, QUI department, hospitals, and other health care facilities.
Facilitate telephone communication from Case Management to providers and care systems. Document action in Case Management computer systems.
Maintain data integrity for cases and authorizations in CarePartner.
Participate in appropriate orientation and/or training of other staff members in the department.
Make updates in CarePartner based on requests, reports and audits.
Maintain and track various spreadsheets for data collection.
Successfully complete necessary training, assignments, etc. to become proficient with processes.
Keep abreast of current information and changes that impact daily processes.
Perform other related duties as assigned to accomplish department goals and meet member/patient needs.
120943_Disease_and_Case_Mgmt_Assistant.doc 3 - 3 Days Ago
Case Manager (Hybrid) - Case Management
- Touchstone Mental Health
-
Minneapolis, MN
FULL_TIME
- Case Manager (Hybrid) Starting Pay: $46,500 annual salary Benefits: Full time, benefit eligibleLocation: Hybrid Work Environment Minneapolis/ Hennepin County Schedule: 5 Day Workweek (8 hours per day)...
- 5 Days Ago
Manager of Case Management
- Accord
-
Paul, MN
FULL_TIME
- Do you want to manage and grow a team of case managers committed to helping people live their greatest lives? Are you committed to quality services and like to achieve goals? Do you like developing pr...
- 1 Day Ago
Manager Case Management
- Reliatus Behavioral Health
-
Minneapolis, MN
FULL_TIME
- Manager of Case ManagementSt. Paul, Minnesota - Work is hybrid in office/remoteOverview:Reliatus Behavioral Health is seeking a dedicated and experienced Manager of Case Management to join our team in...
- Just Posted
Registered Nurse (RN) - Case Manager - Medical Management
- Avera Health Plans
-
Hills, MN
FULL_TIME
- Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
- 2 Days Ago
Registered Nurse (RN) - Case Manager - Medical Management
- Avera Health Plans
-
Beaver, MN
FULL_TIME
- Join the team at Avera!Award Winning Health CareAvera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Orga...
- 2 Days Ago
Disease Management Case Manager jobs at Popular Companies
WVU-Disease Management Coordinator -70168
- West Virginia University Health System
-
Moorefield, WV
- Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
- 6/9/2024 12:00:00 AM
Utilization & Disease Management Administration Coordinator - Phone Intake - Remote
- Conviva
-
Austin, TX
- **Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's ...
- 6/9/2024 12:00:00 AM
Utilization & Disease Management Administration Coordinator - Phone Intake - Remote
- Conviva
-
Carson City, NV
- **Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's ...
- 6/9/2024 12:00:00 AM
WVU-Disease Management Coordinator -70168
- WVU Medicine
-
Keyser, WV
- Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the...
- 6/8/2024 12:00:00 AM
Outpatient Case Manager / Disease Management
- Regal Medical Group, Inc.
-
Covina, CA
- Job Description Position Summary: The Outpatient Case Manager is responsible for the assessment, treatment planning, int...
- 6/8/2024 12:00:00 AM
LICENSED CLINICAL SOCIAL WORKER
- Empower U Inc
-
Miami, FL
- Job Description Job Description DESCRIPTION The Licensed Clinical Social Worker is responsible for conducting detailed a...
- 6/8/2024 12:00:00 AM
Nursing Supervisor
- APLA Health
-
Los Angeles, CA
- Job Details Job Location Michael Gottlieb Health Center - West Hollywood, CA Position Type Full Time Education Level 2 Y...
- 6/8/2024 12:00:00 AM
NP or PA | PRN | Cone Health Employee Health
- Cone Health
-
Greensboro, NC
- Overview: LOCATION: All Cone Health Employee Health and Occupational Health sites CITY: Greensboro, Kernersville, Burlin...
- 6/7/2024 12:00:00 AM
About Minnesota
Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North).
Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disease Management Case Manager jobs
$81,697 to $94,640
Most Popular Cities in Minnesota for Disease Management Case Manager Jobs
What does a Disease Management Case Manager do?
Disease Management Case Manager in Detroit, MI
Providers can directly refer members to our case management program at any time.
January 02, 2020
Disease Management Case Manager in Duluth, MN
A case manager can help a patient understand the benefits of following a treatment plan and the consequences of not following the plan outlined by the physician.
January 09, 2020
Disease Management Case Manager in Rock Island, IL
Our Complex Case Managers are Registered Nurses and / or Social Workers.
February 19, 2020