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Case Management Extender- Utilization Review

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<div align="justify"><div><p style="font-family:Arial;"><span style="font-family:Arial,Helvetica,sans-serif;font-size:16px;">Assists Case Managers and Social Workers in achieving the goals of the Case Management department through the successful completion of removing accounts from the Do Not Bill work queue and discharge planning, including but not limited to, (1) payer communication, certification and authorization, (2) supports case managers with admission and concurrent denial avoidance, (3) timely delivery, documentation, and tracking of “Important Message” notices to Medicare patient or representative, (4) provision of complete clinical information to a continuum of post-acute care providers including follow up with providers to ensure information was received and is complete, and (5) coordination of facility placements, transportation, home healthcare and other community support services that ensure a safe and appropriate patient discharge, and prevent re-hospitalization. Utilizes department tools and resources to organize and prioritize case load and completing priorities. Supports the efforts of HIM and Patient Accounts by ensuring timely, accurate, and complete data entry in multiple information systems/data bases. Brings workflow barriers or issues to the attention of the Supervisor of Case Management and or the Manager of Utilization Management in an expedient manner. Maintains excellent working relationships with payers and post-acute providers. Ensures that flow of information, including delays, to Case Managers and Social Workers is timely and accurate. Demonstrates ability to multitask and exhibits attention to detail. Responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital.</span></p></div></div><br><br><ul> <li style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;">High School Diploma or GED required.  </span></span><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;">Associates degree in Social Work or related field is preferred. </span></span></li> <li style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;">Two (2) years’ experience in utilization management and hospital case management/ social service and/or managed care performing discharge planning, interfacing with insurance companies and/or utilization review may substitute for the degree. </span></span><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;">Medical terminology required. </span></span></li> <li style="text-align: justify;"><span style="font-size:16px;"><span style="font-family:Arial,Helvetica,sans-serif;">Must be computer literate, have experience with internet browsers, and familiarity with Microsoft Office.</span></span></li> </ul>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...