Job Description

Job Title: Case Mgmt/UR Specialist
Job ID: 722575
Status: Job Share
Regular/Temporary: Regular
Hours: Day (Job Share Position)
Shift: Day Job
Facility: UPMC Altoona
Department: Case Management
Location: , Altoona PA

Description

Part Time - Day Shift - Job Share Position

This is union (AFSCME) position

Posted:  9/6/2018

 

Purpose:
Acts as secretary for the Medical Director of Case Management and the Case Management Workgroup; Assists the Case Managers and Care Coordinators and performs all duties required by the program.

Responsibilities:

  • Completes reports required by Quality Insights of PA and Medical Assistance including HNN reporting.
  • Data entry, filing and extensive communication regarding audits.
  • Functions as secretary to case managers and care coordinators; prepares worksheets to facilitate UR review activities.
  • Functions as secretary to the hospital Case Management Workgroup including scheduling meetings and recording minutes
  • Functions in duties of Secretary to Director in secretary's absence.
  • Maintaining and organizing data on cases requiring in-house authorization.
  • Maintains detailed filing system according to payor source.
  • Monitors daily ADT reports working in conjunction with the Medical Record Department to preserve statistical accuracy.
  • Monitors inpatient and MA outpatient cases to assure timely authorization as well as monitoring the OR schedule to assist in the elective precertification process.

Qualifications

Education and Formal Training Required: High School Graduate; Associates Degree in Medical Secretary Course Required. Experience Required: Previous experience in similar capacity required. Typing 50 (wpm) preferred.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $0 to $14.32

Union Position: Yes

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