Beschreibung
Duties:- The SNF Coordinator supports the UM Specialists (case management and care coordination) by handling the administrative functions of the Nursing Facility Admissions/Readmission and BedHold processes including intake, logging authorizations, tracking and member status follow-up.
- The SNF Coordinator collects information required by clinical staff to render decisions, assists the UM Nurse Specialist and Sr. Director in meeting regulatory requirements by maintaining an accurate database inventory of NF admissions, bed holds and discharges, and preparing monthly activity reports.
- Responsible for monitoring enrollment as defined by policy and coordinating enrollment communications with Member Service Department for DHCS notification of LTC activities and subsequent requests for disenrollment from Health Plan.
Education/Experience:
- High School Diploma or Associate Degree required.
- Bachelor's degree preferred.
Bilingual English/Spanish is a plus. - At least one year of experience in Medi-Cal managed care authorization processes and/or as a Medical Assistant; knowledge of medical terminology and ICD-9 and CPT codes required.
- Strong verbal and written communication skills required.
- Proficiency with Microsoft Word, Excel, and Access required.
- Excellent organizational, interpersonal and time management skills required.
- Must be detail oriented and an enthusiastic team player.
- Knowledge of MHC computer system a plus.