You’ll need
Education
✓High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
BSW/CSW preferred.
Qualifications
✓Experience in the healthcare industry.
✓Effective written, oral, and interpersonal communications skills.
✓Proficient computer, word-processing and Excel spreadsheet skills.
✓Ability to learn new computer systems, i.e.: EPIC, INDICIA.
✓Educated in the unique clinical and discharge needs of the patients.
✓Strong time management and priority-setting skills.
✓Ability to work independently and as a team member.
✓Self-directed with the ability to take the initiative to solve problems.
1 year recent experience in a hospital or medical setting preferred.
Benefits
Benefits package (see posting)
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About the role
The Integrated Case Management Specialist performs selected services and functions related to insurance management with various payors, ortho calls, payer communications and support of the Care Coordinators. Prepares required Appeals and Denial information for processing and follows up on receipt of communication including Livanta appeal management process.