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UTMB Health Care Management Specialist, Galv. Campus Social Work in Galveston, Texas

Care Management Specialist, Galv. Campus Social Work

Galveston, Texas, United States

Healthcare Support Services

UTMB Health

Requisition # 2301817


The Care Management Specialist oversees and coordinates the patients post-discharge experience. They are skilled in providing excellent customer service and consulting with patients by coordinating patientservices and other medical-related services offered by a healthcare team. Obtains authorizations for inpatient services; performs telephone triage and referral. Facilitate the approvals for UTMB inpatient services.


Minimum Qualifications:

  • High School or equivalent

  • Three (3) years of customer service or related experience in a healthcare or clinical setting

Preferred Qualifications:

  • Associate Degree or equivalent combination of education and training/experience

Essential Job Functions:

  • Collaborate with the Care Coordinator and Social Worker to facilitate discharges, prioritizes daily tasks, and round on units several times a day to identify discharge barriers.

  • Manage patients discharge readiness and final discharge plans; provides resources to patients and families as needed. Tracks discharge barriers appropriately.

  • Verifies referral received to make post-discharge arrangements for patients.

  • Coordinate on behalf of the Care Manager or Social Worker to offer the patients choice of post-acute preferred providers.

  • Notifies designated referral place of the need for admission and verifies bed availability.

  • Prints/copies sections of the chart to fax or send to accepting agencies/facilities to ensure the patients treatment plan continues.

  • Arranges transportation as directed by the Care Coordinator or Social Worker; ensure compliance with Medicare and third-party coverage. Communicate with patient, referral source, UTMB physician, and clinical staff about access or authorization challenges.

  • Coordinates transportation by calling insurance companies to check on ambulance pre-authorization.

  • Obtains authorizations for DME, SNF, and home health.

  • Delivers Important Medicare and/or Medicare Outpatient Observation Notice letters when directed by Care Coordinator or Social Worker.

  • Documents discharge referral/treatment plan in the chart.

  • Other duties as assigned

Salary :

Salary commensurate with experience

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.