Case Management Assistant

DescriptionMercy Rehabilitation Hospital- Oklahoma City is proud to be recognized by Newsweek as one of America's Best Rehabilitation Hospitals in 2023. A career at Mercy Rehabilitation Hospital- Oklahoma City, a 66 bed inpatient acute rehabilitation hospital operated jointly with Lifepoint Health and Mercy, is more than a job. It's a chance to be a vital member of an interdisciplinary team caring for people who need continued care to recover completely. You have specialized skills and our patients in the Oklahoma City area need them! If you are an enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve our community, we invite you to apply!WHY WORK WITH US* Tuition assistance/reimbursement * Expansive benefit package * Professional development and advancement opportunities * Targeted approach to career development * Strong interdisciplinary teamwork opportunities * Superior quality patient outcomes * Supportive leadership and culture* CEU Support * State-of-the-art equipmentWhat you will do in this role: * Provides assistance to the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team * Assists the case management team by making necessary arrangements for post-discharge follow up care * Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews * Monitors, follow-up, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel [hospital staff, physician, DCM, Case Manager, Clinical Denial Management, and Centralized Business Office (CBO)]* Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Lead CM/DQ and Case Manager * Performs other related duties as assignedQualifications*

College degree in healthcare related field preferred* LPN or social work degree preferred but not required * Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department. Proficient with WORD and EXCEL software, keyboard typing, and general office equipmentMercy Rehabilitation Hospital- Oklahoma City provides inpatient rehabilitation services for patients recovering from strokes, brain or spinal cord injuries, amputations, complex orthopedic injuries and other conditions. The greatest feature of our rehabilitation hospital is our team of dedicated doctors and nurses.