At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job TitleCare Management Resource Center Specialist

                        

LocationCleveland

                    

FacilityRemote Location

                     

DepartmentCare Management Nursing Institute-Nursing Institute

                      

Job CodeB99951

                     

ShiftDays

                       

Schedule9:00am-5:30am

                       

Job Summary

                         

Job Details

Join the Cleveland Clinic team where you will work alongside passionate caregivers and make a lasting, meaningful impact on patient care. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.  

The Care Management Resource Center receives and appropriately addresses all requests from the TCC/SW to ensure transitions of care are facilitated in a timely manner. As a Center Specialist, your responsibilities often include initiating the post-acute pre-certification process with facilities and insurance companies, making referrals to post-acute agencies and documenting the details of the discharge transition plan. 

A caregiver in this position works remotely from 9:00AM – 5:30PM, with onsite training and monthly onsite meetings requirements. 

A caregiver who excels in this role will:  

Support the Transitional Care Coordinator and Inpatient Social Worker with specified non-clinical work. Initiate contact with payers to facilitate precertification for transfer to post-acute facilities, provide clinical documentation and ensure timely follow up calls. Initiate contact with post-acute agencies, provide updates as requested and facilitate placement. Facilitate 7000 forms by Healthcare Electronic Notification System (HENS). Place and close referrals in AllScripts Care Management. Handle calls from commercial payor case managers with questions regarding admitted patient’s discharge plans. Manage post-acute pre-cert process for commercial insurance patients needing pre-cert to post-acute facilities. Provide necessary verbal and electronic communication to and from care management staff, serving as a liaison between hospital personnel and the various agencies. Serve as a central hub communicator for discharge plan information. Completes data tracking and collection to assist with the identification of routine statistics and problems or trends. 

Minimum qualifications for the ideal future caregiver include:  

High School Diploma or GED Three to five years of current administrative/clerical experience working in healthcare or a related field Fluency in medical terminology Computer literacy 

Excellent verbal and written communication and organization skills 

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ 

Physical Requirements:

Ability to perform work in a stationary position for extended periodsAbility to operate a computer and other office equipmentAbility to communicate and exchange accurate information

Personal Protective Equipment:

Follows Standard Precautions using personal protective equipment as required.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities