Overview

St. Luke's Health System in Boise, ID is seeking a Case Management Assistant to join our Case Management team.

Unit/Position Summary

The Case Management Assistant is responsible for providing accurate and timely administrative and technical support to the case and/or utilization management teams, helping ensure a positive patient experience and effective coordination of care and utilization review processes.

Responsibilities

• Provides support to the RN Case Managers, Social Workers and Utilization Reviewers. Assists with all aspects of case and/or utilization management functions, which may include activities such as prioritization and assignment of patients, authorizations and referrals, verification of patient information, benefit review, intake and screening, and coordination of services.
• Prepares and faxes necessary documentation/information to facilitate authorizations and referrals. Follows-up on authorizations and referrals by phone to ensure receipt and ensure all necessary information/documentation was provided. Receives and documents authorizations requested. Contacts insurance companies/payers/medical groups to acquire authorizations.
• Coordinates, generates and tracks both incoming and outgoing correspondence and faxes. Receives calls, faxes and portal submissions regarding authorization requests, process inquiries, and eligibility verifications; coordinating and communicating with providers and payers for plan members to facilitate receipt of information, and/or records for prompt review and response.
• Documents all relevant information in the electronic medical record according to policy and departmental guidelines. Assists department leadership in data management. Runs scheduled and ad hoc reports, as requested.
• Identifies potential issues in coordination or reimbursement of care, notifies appropriate personnel, and assists in resolution efforts.
• Performs job duties and coordinates with other members of the healthcare team to ensure appropriate compliance with state, federal, HIPAA, and Joint Commission regulations and requirements.Other duties and responsibilities as assigned.

Qualifications

• Education: Associate degree in a healthcare related field or 2 additional years of relevant experience
• Experience: 2 years' relevant experience
• Licenses/Certifications: None

Why St. Luke's

A strong, talented staff is at the heart of St. Luke's Health System. We are the state's largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We're proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.

For more information, please contact Julie Leguineche at leguinej@slhs.org

About Boise

Known as the "City of Trees," Boise is Idaho's capital city--both a cultural center and a playground for those who love the outdoors. A vibrant downtown area affords fine dining, theatre, music, and college and semi-professional sports. Downtown Boise's main attractions include the Idaho State Capitol, the classic Egyptian Theatre, the Boise Art Museum, Julia Davis Park and Zoo Boise. The Greenbelt follows the beautiful Boise River corridor for more than 30 miles, and the Boise foothills are home to miles of hiking and biking trails.

Learn more about what the City of Trees has to offer you:

St. Luke's Health System | Boise Convention and Visitors Bureau | Boise Parks and Recreation | Boise Museum Association | Boise Music Festival | Boise Philharmonic | Downtown Boise Restaurants | Boise Valley Economic Partnership | Hyde Park events | Treefort Music Festival | First Thursdays | Alive After Five | Capitol City Public Market | Runs and Triathlons | Shakespeare Festival | Sawtooth National Forest | Visit Idaho.org

*St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.