Providence Health & Services Discharge Planner Supervisor in Mission Hills, California
Providence is calling a (Full Time/ Day Shift) Discharge Planner Supervisor to our Facey Medical Foundation - Administrative Offices location in Mission Hills, CA.
In this position you will:
Responsible for developing, coordinating and monitoring daily workflow and coverage for all Discharge Planners.
Ensures all goals, timeframes and objectives are met.
Demonstrates competency and knowledge of HMO/POS/EPO/PPO insurance, eligibility and benefit coverage’s/criteria, GE/IDX system, All scripts EHR, EPIC and all network hospitals portal. Must have experience with skilled nursing, home health, hospice, DME, injectable's, Medicare parts A, B, C, and D.
Demonstrates knowledge of all areas of utilization management, with the ability to handle multiple tasks simultaneously.
Serves as a liaison between patients, hospitals, health plans, providers and the organization.
Must demonstrate job proficiency as Request Specialist and Discharge Planner.
Responsible for interviewing, hiring and training new Discharge Planners.
Required qualifications for this position include:
Minimum 2 years experience in a clinic, hospital or related health care environment.
Prefer a minimum of 1 years of supervisory experience in health care.
Prefer experience in utilization related skills in the managed care field.
Knowledge of IDX GE Centricity and ability to navigate in various EHRs of Hospital /Medical Groups required.
Understanding of the issues and potential gaps in transition of care for post acute patients required.
Experienced telephone skills with ability to communicate clearly and distinctly and confirm that effective communication has taken place with caller.
Good understanding of HMO/POS/EPO/PPO insurance, medical terminology, ICD/CPT coding and HCPCS medical coding.
Ability to type 45 wpm, 10-key calculator by touch, strong computer skills with knowledge of MS Outlook, Word, Excel and data entry skills are required.
Must be a self-starter, able to initiate ideas and troubleshoot problem areas.
Able to work independently and as a team player.
Comfortable in a hospital environment interacting with clinical professionals, patients and ancillary providers.
About the organization you will serve:
Facey Medical Group is a multi-specialty medical group with over 160 physicians providing care to the growing population in the North & East regions of Los Angeles & Ventura Counties. Twelve medical clinics, including two urgent care centers and dedicated women's centers, are located across the San Fernando, Santa Clarita, and Simi Valleys. The group began as a single medical practice over 90 years ago.
Facey is part of Providence Health & Services, an integrated, not-for-profit 5-state network of hospitals, care centers, medical clinics, affiliated services and educational facilities spanning from California to Alaska.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Administrative Support (Clinical)
Location: California-Mission Hills
Req ID: 200911