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Education & Experience

• Associate degree in a healthcare related field that may include such areas as nursing, community health education, psychology or sociology is required.
• Bachelor's degree in a health care related field that may include such areas as community health education, psychology or sociology is preferred.
• Minimum two (2) years of healthcare setting, such as hospital, clinic or health plan, experience is required.
• Prior experience in case management in a health care setting, such as hospital, clinic or health plan is preferred.

Job Related Knowledge, Skills and Abilities (Competencies)

• Demonstrated excellent written and verbal communication skills.
• Experience working with patients and their families.
• Must be flexible, self-motivated, proficient at multitasking, accustomed to frequent interruptions, and comfortable with change.
• Must be knowledgeable in medical and insurance terminology and procedures, and patient discharge process.
• Familiarity with insurance UR and disability qualifications. Must have time management skills with competing priorities.

Requires knowledge of Microsoft Office Excel, Word, PowerPoint, and Outlook. Preferred

• EPIC software Milliman software Cognos Reporting software Kronos timekeeping software Crystal Reports software The Care Integration Specialist, working as a member of the interdisciplinary team, provides assistance and support to the Case Management team.
• This position helps facilitate a safe discharge plan, providing patients with services and resources as appropriate.
• This position collaborates with the treatment team and the patient to create an appropriate plan based on the resources available.
• This position manages a resource guide to be utilized for the discharge planning process and is the point person for external vendors, insurances and care team members.
• This position functions under the direct supervision and management of the Healthcare Program Manager.
• Activities are related to discharge plan coordination, insurance utilization to ensure hospitalizations are covered as well as external resources for discharge and general support of the department employees.