Job Information
Corewell Health Care Management Coordinator in Grand Rapids, Michigan
About the Department
Advance Care Planning Care Management Coordinator (ACP CMC) at Butterworth hospital works with patients and their families to complete Advance Care Planning documents. ACP CMC works with the care team to help patients meet their goals before discharge.
About Butterworth Hospital
Right in the heart of Grand Rapids, you’ll find a nationally recognized hospital for patient quality and safety and the regional leader in full-service hospitals. Since 1873, we have been growing and building a reputation of excellence in care, diagnostics, treatment, prevention and education. It is the flagship hospital for Corewell Health Grand Rapids Hospitals.
Scope of Work
Ensures that timely, accurate and complete data is submitted to appropriate insurance companies to guarantee prompt payments to Spectrum Health. Communicates and collaborates with the multidisciplinary team through verbal and written communication. Participates with Care Team for the integration of the patient to the home or transitional environment by developing, planning, implementing and evaluating in accordance with current existing federal, state and local standards. Adheres to confidentiality policies specific to communications, patient confidentiality, record keeping and coordination services. Serves as the liaison between the facility and all surgeons performing metabolic and bariatric surgery at the center, if applicable, all general surgeons providing call coverage.
Inputs data from various sources (insurance companies, admissions, certification, and other hospitals) into Care Management discharge planning software and insures communication to members of Care Team.
Processes and prepares clinical reviews completed by Care Management Department (CMD) employees for confidential transmission to third party payers.
Maintains ongoing communication between Spectrum Health (SH) and third party payers related to the number of hospital days authorized, additional requests for clinical information, anticipated discharge needs, etc.
Supports specific third party payers by obtaining authorization for services; providing accurate & timely admission/discharge dates; updating CMD and SH employees on any demographic changes; problem solving issues/concerns third party payer may have. Reports reviews needed to case manager.
How we will care for you, while you care for our patients
Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here (https://careers.corewellhealth.org/us/en/benefits-new) .
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
Optional identity theft protection, home and auto insurance, pet insurance
Traditional and Roth retirement options with service contribution and match savings
Qualifications
Required High School Diploma or equivalent
Preferred Associate's Degree Business Administration, Management, Commerce, Communications, Public Relations or other related degree or equivalent combination of education and experience
2 years of relevant experience Related work in a clinical office or health insurance setting Required
Working in an organization of size and complexity comparable to Spectrum Health Required
Primary Location
SITE - Butterworth Hospital - 100 Michigan St - Grand Rapids
Department Name
Advance Care Planning - GR
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
08:00 - 4:30p.m.
Days Worked
Monday - Friday
Weekend Frequency
N/A
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Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency. Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people—including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.