Case Mgr-Transition Navigator

Ohio State University Wexner Medical Center Columbus , OH 43216

Posted 1 month ago

Case Mgr-Transition Navigator

Job ID



Ross Heart Hospital

Full/Part Time



Clinical Case Mgmt - Ross







Salary Range Min


Salary Range Max


Job Description

Case Mgr-Transition Navigator (Job Opening 455629) - Scope of Position/

Position Summary:

The Transition Navigator improves outcomes by reducing all cause readmissions and coordinating episodes of care among patients in a defined population or disease process. The primary focus is on the coordination and delivery of efficient, effective, compassionate, patient centered care and safe transitions across the care continuum.

The Transition Navigator monitors the patient care process and physiological needs; educates, documents, communicates, and collects data to evaluate and assure patient/family readiness for discharge. The Transition Navigator facilitates the lateral integration of the care team, collaborating with physicians, nurses and other staff across the continuum to provide comprehensive disease management, assessment, treatment, education, and follow-up evaluation for patients; and, to communicate the plan of care in coordination with post acute care settings.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Clinical Financial Case Mgr

Ohio State University Wexner Medical Center

Posted 1 month ago

VIEW JOBS 4/28/2020 12:00:00 AM 2020-07-27T00:00 Clinical Financial Case Mgr Job ID 457955 Location James Cancer Hospital/CCC Full/Part Time Full-Time Department OSU Specialty Pharmacy Shift 1 Regular/Temporary Regular FTE % 100.00 Salary Range Min $52000.00 Salary Range Max $84750.00 Job Description Clinical Financial Case Mgr (Job Opening 457955) - Position Summary This position uses clinical knowledge for the management of the complex process of coordinating insurance verification and prior authorization of outpatient medications; provides evidence to support cutting edge therapies; provides clinical education to payers regarding current standard of care treatment. Identifies trends, and areas for needed clinical education, to decrease denials where applicable. Submission of test claims proactively supporting clinicians in efforts to identify areas where risk of denial is high to mitigate that risk. Responsibilities also include understanding and verifying benefits and obtaining prior authorization for outpatient medications. In addition, the position will at times contact patients/families in order to ascertain additional demographic, financial, and insurance information essential to the authorization processes while also informing patients of medication co-pays. Having strong clinical knowledge, utilizes the electronic medical record system to obtain pertinent medical information for prior authorization process. Solves complex customer problems. Evaluates and solves complex issues/problems; communicates and consults with the clinical team. Ohio State University Wexner Medical Center Columbus OH

Case Mgr-Transition Navigator

Ohio State University Wexner Medical Center