CASE MANAGEMENT: CLERICAL COORDINATOR- UTILIZATION REVIEW FULL-TIME DAY

Nyack, New York


Employer: Nyack Hospital
Industry: Administrative/Clerical
Salary: Competitive
Job type: Full-Time

As part of the Montefiore Health System, we offer the quality of a premier academic medical center and the caring of a community hospital. We're committed to the health and well-being of Rockland County's residents and our team members.

Benefits include:
  • Matching retirement savings plan
  • Medical, dental, and vision benefits
  • Tuition reimbursement
  • Generous Paid Time Off (plus 8 holidays )
  • The clinical excellence of the Montefiore Health System
  • Equal Opportunity Employment
  • Zero tolerance policy for discrimination, harassment and abuse
  • Fair employment practices, including equal treatment in hiring, promotion and compensation
  • WE CARE code of conduct for all team members

A Great Place to Live

Just 35 miles from New York City, Rockland County offers friendly communities, natural beauty, outdoor pursuits, convenient shopping and easy access to New York City. While Rockland County has plenty to offer, both the mountains and the beach are within a few hours' drive.

The Clerical Coordinator for Care Management is responsible for the clerical support of the Department by organizing office data and departmental statistics. Communicates information with all managed care entities, assists with obtaining medical records for Case Managers for retrospective reviews and the Adverse Determination Case Mangers in obtaining copies of Medical Records. Oversees the FCP Program with Oxford/United Healthcare Insurance. Would create correspondence for the department, create meeting schedules and calendars, attend meetings, and take minutes as required. Generate reports/graphs using appropriate format and dashboard reports from various software's including EPIC. Maintains department database of third-party payer review activities and generates reports. Additional duties as assigned.

QUALIFICATIONS

High School Diploma required, Associate degree preferred. Three to five years clerical experience in a healthcare setting preferred. Demonstrated computer proficiency. Knowledge of third-party payer requirements. Experience working with Microsoft Office applications and comfort level in working with Excel. Capable of communicating to all levels of staff within the department and adapting to changing and fast paced environments. Demonstrated excellent organizational Skills and the ability to multi-task.

Created: 2024-06-14
Reference: 2120320565
Country: United States
State: New York
City: Nyack