ANALYST-CASE MANAGEMENT-PART TIME 8HR DAYS
John F. Kennedy Memorial Hospital - Indio, CA

This job posting is no longer available on Tenet Healthcare.

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1305007900

Description

:

Scope of duties encompasses a variety of tasks related to utilization financial management. Works with the Central Business Office (CBO) in capturing dollars denied by insurance. Utilizes TENETs mainframe computerized data base (Showcase, IES, Rally, & PFC) to generate reports. Maintains the IEHP/Medi-Cal Managed Care Bed Day Log. Collaborates with Case Management Manager to ensure out-of-network patients are at the appropriate level of care and hospital. Coordinates A-130 review to ensure Medi-Cal patient processing is accurate and timely. Completes Medi-Cal end-of-month report for all outstanding accounts. Enters Medicare One-Day-Stay information into FUS Notes for billing purposes. Completes "batching" of Observation Day charges. Maintains the Medi-Cal paper-work processing to ensure correct and timely reimbursement. Prepares graphs, flow charts, and diagrams for Performance Improvement Projects.

Direct report to Manager of Case Management

Qualifications

:

High school graduate or equivalent;

Medical terminology;

Certification in computer maintenance/troubleshooting

Knowledgeable in use of computers and specific software;

Good communication skills and ability to work with others

Previous experience in Quality Assurance or Performance Improvement, Utilization Review, Managed Care;

Statistical skills - data gathering, graphic and numerical display of data sets, compute averages, etc.

Job

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Non-Clinical/Administrative

Primary Location

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CA-Indio

Hospital/Facility

:

266-John F. Kennedy Memorial Hospital - Indio, CA

Job Type

:

PT2N

Shift Type

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8 Hour Day

Tenet Healthcare - 15 months ago - save job - block
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