Sentara Health Corporate Office is hiring an Inpatient Case Management Authorization Technician to work full-time/day shift.

The Inpatient Case Management Authorization Technician provides assistance to the Inpatient Case Management team under the direction of the ICM RN/MSW, or other team member to coordinate referrals for the purpose of expediting care.

• Delivers compliance documents or other patient documents

• Acts as an extension of the ICM RN/MSW, or AA to facilitate referrals, calls for the purpose of expediting patient care to include pre-authorizations when appropriate.

• Delivers Durable Medical Equipment to the patient or caregiver under the direction of the ICM RN/MSW, or AA

• Facilitates data entry, patient signature, and processing of LTSS screenings

• Contacts insurance companies to identify in-network agencies to support patient post-acute needs

• Gathers, takes action on, and maintains Case Management documentation such as referrals, admissions, orders, and schedules.

• Participate Gathers Quality Improvement (QI) and department Performance Improvement (PI) data.

• Provides administrative back-up and main office support as requested

Requirements:

Medical terminology knowledge and insurance/payor experience preferred.  Strong written and verbal communication skills required.

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