Case Management Clerical Coordinator

AHS Vista LLC • Waukegan, IL

2d

About The Position

The Case Management Assistant provides administrative and operational support to the Director of Case Management and Nurse Case Managers to ensure the department functions in a highly organized, productive, efficient, and quality-driven manner. This role is essential in supporting daily workflow, documentation, communication, and compliance activities within the Case Management Department.

Requirements

• High School Diploma required
• Minimum of 2 years of office secretary or customer service experience
• Strong organizational and prioritization skills
• Excellent communication and interpersonal skills
• Analytical and problem-solving abilities
• Ability to multitask in a fast-paced environment
• Proficient in basic computer applications and data entry

Nice To Haves

• Associate's Degree preferred
• Prior healthcare experience preferred

Responsibilities

• Demonstrates commitment to the Community Cares Program and consistently applies the AIDET communication model.
• Upholds organizational Standards of Behavior including professionalism, communication, privacy, safety awareness, responsiveness, and service recovery.
• Complies with organizational, departmental, and regulatory policies and standards.
• Participates in staff meetings, training, and educational activities.
• Assists with daily assignments for Case Managers.
• Retrieves insurance calls from voicemail, records, and forwards to the appropriate Case Manager (minimum every 2 hours).
• Works daily on unbilled reports.
• Performs HSI census daily.
• Enters discharged cases into QRM, including discharge disposition, date, referrals, and related data.
• Files worksheets alphabetically and by date.
• Enters avoidable days and Physician Advisor referrals into QRM.
• Faxes referral information as directed.
• Creates on-call schedules for Case Managers and distributes rosters.
• Processes HSI requests for retro records and forwards to HIM.
• Obtains and forwards medical records for appeals to HER.
• Monitors mail for RAC correspondence and alerts Director immediately.
• Maintains referral files and VistaNet referral information.
• Performs periodic purging of paper files and sets up new files.
• Answers ASCOM phones when Case Managers are unavailable.
• Takes minutes and assists with agenda preparation for UR Committee meetings.
• Logs Opportunity Letters.
• Orders departmental supplies.
• Provides additional support to Risk Management as needed.
• Performs additional duties to support departmental efficiency and organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED