Case Management/UR Specialist

UPMC Altoona - Altoona, PA3.7

Job Description
Job Title: Case Management/UR Specialist
Job ID: 729812
Status: Job Share
Regular/Temporary: Regular
Hours: Job Share Position Working Day Shift
Shift: Day Job
Facility: UPMC Altoona
Department: Case Management
Location: , Altoona PA

Job Share - Part Time - Day

This is a union (AFSCME) position

Posted: 10/3/2018

Acts as secretary for the Medical Director of Case Management and the Case Management Workgroup; Assists the Case Managers and Care Coordinators and performs all duties required by the program.

Completes reports required by Quality Insights of PA and Medical Assistance including HNN reporting.
Data entry, filing and extensive communication regarding audits.
Functions as secretary to case managers and care coordinators; prepares worksheets to facilitate UR review activities.
Functions as secretary to the hospital Case Management Workgroup including scheduling meetings and recording minutes
Functions in duties of Secretary to Director in secretary's absence.
Maintaining and organizing data on cases requiring in-house authorization.
Maintains detailed filing system according to payor source.
Monitors daily ADT reports working in conjunction with the Medical Record Department to preserve statistical accuracy.
Monitors inpatient and MA outpatient cases to assure timely authorization as well as monitoring the OR schedule to assist in the elective precertification process.

Education and Formal Training Required: High School Graduate; Associates Degree in Medical Secretary Course Required. Experience Required: Previous experience in similar capacity required. Typing 50 (wpm) preferred.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities
Salary Range: $0 to $14.32

Union Position: Yes