.. pay / Paid training - As a Member Support Rep you'll: Receive 40-50 inbound calls per day; Function as the primary contact for members; Be responsible for answering inquiries and identifying solutions to any problems; Empathetically assist the member through the claims process; Document and research .. read more
Job Description: Coordinates the care and services for patients identified as needing assistance or meeting Care Management criteria. As a Care Manager you need to know how to: * Coordinates the care and services for patients identified as needing assistance or meeting Care Management criteria. * Collects in-depth information about a patient's medical, functional, and social condition, to identify individual needs in order to develop a plan to meet those needs. * Works with patients and family/caregivers to determine specific goals and actions based on assessment. * Coordinates discharge planning. * Executes specific interventions to meet established goals. * Organizes, integrates and coordinates the necessary resources to accomplish the goals and plan. * Assesses the patient's prior level of functioning, access to and/or use of community resources and available support systems. * Assists the care team in developing a plan of care which includes, but is not limited to: assuring appropriateness of services and care setting, assuring individualized support and education, determining the need for continued services, planning for discharge, and identifying and connecting patients/families with available community resources if needed. * Collaborates with Physicians and other members of the health care team on the patient's behalf. * Identifies appropriate admission and continued stay issues. * Enhances the quality of patient care through effective and efficient use of resources. * Helps to identify strategies for reducing length of stay and appropriate utilization of services. * Utilizes criteria including clinical pathway data and implements strategies to resolve controllable variances. * Attends, facilitates and participates in rounds and case conferences. Advocates for patient rights. * Monitors efficiency and availability of services and evaluates outcomes through variance tracking, data collection. * Identifies needs, facilitates, or provides education to physicians and ancillary departments/nursing units regarding case management, discharge planning process, and roles. * Participates in multidisciplinary groups and development of guidelines. * Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. * Performs other duties as assigned. Minimum Requirements: * Bachelor's Degree from an accredited school of Social Work, Sociology or related field is required. * Minimum of one (1) year clinical experience is required. Preferred: * Two (2) years of case management experience in hospital setting is preferred. Physical Requirements: Anticipated job posting close date: 09/12/2024 Location: St James Hospital Work City: Butte Work State: Montana Scheduled Weekly Hours: 0 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $28.37 - $50.39 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.