Summary

Job Description

POSITION SUMMARY:

Assists through facilitating patients through the continuum of care and arranging transition needs under the direction of the Case Manager/Social Worker.

HOURS: Full-time, hours vary from 7:30AM - 5:00PM. Will work every 7th weekend from 8:00AM - 4:30PM (could vary). Rotate with team to work designated holidays (Martin Luther King, Memorial Day, Juneteenth, Independence Day and Labor Day) - subject to change. No on-call hours. Opportunity to work a limited hybrid schedule after 6 months.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Assists department staff in facilitating patient transitions of post-acute providers and other community resources as requested, including completion of referral and authorization processes as appropriate.

• Maintains professional relationships with a wide variety of community agencies by facilitating communication and information between clinical personnel and post acute providers.

• Documents appropriate information on medical records regarding the transition plan. Assists with the coordination and communication of the discharge process.

• Participates in reimbursement, certification and authorization related activities as directed.

• Documents payer and authorization information as needed.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Interacts with patients and families, as needed, to coordinate post acute services safely and efficiently.

• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• High school diploma or equivalent (GED)

• Two (2) years of clerical, customer service, or administrative support experience in a highly customer-oriented organization.

• Two (2) years experience with basic keyboarding, personal computer use, and other office setting equipment.

• Demonstrated ability to be self motivated and to prioritize tasks efficiently and accurately.

• Demonstrated ability to work as a member of a team.

• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.

PREFERRED QUALIFICATIONS:

• Two (2) years experience as a Patient Care Assistant or LPN.

• Two (2) years experience in a hospital/health or insurance/payer setting.

• Prior payer experience.

• Prior logistics experience.

COGNITIVE REQUIREMENTS

Attention/Concentration – The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others:

The position requires the ability to attend to more than one aspect of a situation simultaneously. It is highly likely that multiple task demands are going to be required of the individual at the same time.

New Learning and Memory – The following level of ability is essential for the jobholder to learn and retain material:

Job demands are only moderately routine and predictable. Minor changes may occur which require the individual to be able to understand and carry out detailed but uninvolved instructions.

Problem Solving, Reasoning and Creative Thinking – The following level of ability that is essential for the jobholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought:

The position requires the ability to evaluate existing options to resolve a presenting problem. The resolutions or options are clearly defined, limited in number and are altered infrequently. Selection of the most appropriate solution is based on well-established and defined guidelines.

APTITUDES: The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act:

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies

Software: Microsoft Office Products, Epic, Aidin, Scriptpro, Insurance portals, SMART CONNECT

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement :

• Sit: Continuously

• Stand: Frequently

• Walk: Frequently

• Bend: Rarely

• Push: Occasionally

• Pull: Occasionally

• Kneel/Squat: Rarely

• Reach: Rarely

• Twist: Rarely

• Balance: Rarely

• Climb: Rarely

Lifting: Degree of physical exertion is: Light , exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.

Sensory Abilities specifically required:

• Vision

• Hearing

PHYSICAL ENVIRONMENT

WORKING CONDITIONS: Exposure to hazardous conditions/ materials is negligible.

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.

Benefits At A Glance:

PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:

• 100% Tuition Assistance at The Pennsylvania College of Health Sciences

• Paid Time Off and Paid Holidays

• Shift, Weekend and On-Call Differentials

• Health, Dental and Vision Coverage

• Short-Term and Long-Term Disability

• Retirement Savings Account with Company Matching

• Child Care Subsidies

• Onsite Gym and Fitness Classes

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

PENN MEDICINE LANCASTER GENERAL HEALTH, a member of the University of Pennsylvania Health System (Penn Medicine), is a not-for-profit health system with a comprehensive network of care encompassing Lancaster General Hospital (LGH), Women & Babies Hospital and the Lancaster Rehabilitation Hospital (a partnership with Kindred Healthcare). We are an Accredited Trauma Center-Level I through the Pennsylvania Trauma Systems Foundation with 805 Licensed beds. Our membership in Penn Medicine brings together the strengths of a world-renowned, not-for-profit academic medical center and a nationally recognized, not-for-profit community healthcare system.

Outpatient services are provided at the Downtown Outpatient and Suburban Outpatient Pavilions, along with additional outpatient centers and Express and Urgent Care locations throughout the region. Lancaster General Health Physicians is a network of more than 300 primary-care and specialty physicians, at more than 40 offices throughout the region.