How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Summary

This position is responsible for providing exemplary customer service to internal and external customers; processing and evaluating referrals for accuracy and completeness; verifying insurance benefits and copays; obtaining prior authorization for clinical service; identifying and informing the supervisor (Charge Nurse, Clinical Care Coordinator, etc.) of referral issues, problems, and trends; scheduling and confirming patient visits and field staff assignments for a designated patient population; and coordinating other activities and needs for the team members. Collaborates with referral sources, including clinics, physicians, and hospital Care Managers, to obtain necessary information regarding referrals. Supports operational process by coordinating workflow. Handles complex referrals and insurance verification. Works autonomously and problem solves independently.

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Responsibilities*

• Provides excellent customer service and pro-actively problem solves to ensure efficient and accurate processing of referrals and authorizations to ensure optimum operations for all department functions.
• Monitors and processes all referrals for MVN home care services.
• Verifies home care insurance benefits and eligibility, including copay and deductible amounts to initiate service in a timely manner.
• Obtains prior authorization and reauthorization for all services provided.
• Efficiently performs timely and accurate data entry of referral and insurance information.
• Coordinates the scheduling for all MVN therapy patients and assigns clinician schedules using established guidelines. Provides timely communication with patients and staff regarding scheduling.
• Acts as liaison for the department by promoting collaborative communication with referral sources, patients/families, the public and team members to develop, support and maintain positive relationships.
• Refers clinical questions and issues with home care referrals and physician orders to the Supervisor, Clinical Care Coordinator, or Charge Nurse.
• Responsible for the coordination of daily workflow.
• Updates work schedules to address acute needs or changes in staffing resources.
• Participates in orientation, training and onboarding for new staff.
• Participates with leadership team to ensure effective operations.
• Serves as the point of contact for telephone triage of patient referral and scheduling inquiries.
• Leads and participates in area huddles.
• Images documents into the media tab of MiChart.
• Tracks and ensures necessary documentation to fulfill prior authorization and re-authorization requirements for billing and collection purposes.
• Monitors and reviews work queues independently daily for resolution of issue to ensure timely initiation of scheduling, discharge and billing processes.
• Independently resolves problems interdepartmentally and externally, including clinicians, billing, MiChart team, etc.
• Assists patients navigating them through the complex logistics of the health system.
• Proficiently use department technology to execute assigned tasks.
• Participates in regular evaluation of area metrics (i.e., timely initiation of care).
• Collaborates with management and staff to distribute immediate notification of a supply recall.
• Manages all supply ordering for patients and staff, assuring full stock is maintained and available for field clinicians.
• Manages supply accounts through various vendors.
• Contacts patients to audit the receipt of supplies and satisfaction with service.
• Collaborates with the Wound Care Coordinator and supervisors regarding coordination of care and delivery of cost-effective product selection.
• Provides cross-coverage for all MVN areas (OB/Peds, Adult Certified, Rehabilitation). May specialize in certain patient population referrals, scheduling and coordination.
• Orients new staff to rehab team scheduling guidelines and supply coordination.
• Proactively participates in continuous quality improvement and review of existing processes. Makes recommendations for more efficient alternatives.
• Contributes to a positive work environment.
• Patient and Family Centered Care

Actively engages the patient and family, as applicable, by exhibiting respect and dignity, sharing information in a timely and unbiased manner, and welcoming and encouraging participation to achieve shared decision making.

Collaborates with other members of the team, including the patient and family, to achieve the ideal patient care experience.

• After hours On-Call for MVN/MVC weekend coverage, as assigned.

Other Related Duties:

• Complies with all University of Michigan and departmental standards and expectations.
• Supports the department's commitment to continuous improvement activities and principles through positive and respectful contribution in all problem-solving and change processes at Home Care Services.
• Performs other duties as assigned.

Required Qualifications*

• High School Diploma or equivalent
• 8 years of experience in a similar or related field
• Exceptional interpersonal skills and ability to work well within a team setting.
• Effective communication skills
• Demonstrated active listening, written, and verbal skills.
• Knowledge of medical terminology
• Able to prioritize and complete work in a self-directed manner.
• Proficient computer skills, including Microsoft Office products and other software applications.
• Ability to travel from point A to point B throughout the workday as assigned.

PHYSICAL REQUIREMENS:

The employee will be able to perform the assigned duties and responsibilities with or without reasonable accommodations: ability to work in a sedentary position for long periods of time, ability to communicate/exchange information, fine motor coordination/dexterity necessary for keyboarding or typing, and may require reaching, bending, twisting, stooping, moving about, lifting  of up to 10 pounds, etc., with or without the use of assistive/adaptive devices.

Desired Qualifications*

• Bachelor's degree or equivalent combination of education and experience
• Experience with EPIC electronic medical record system
• Experience working in a home care environment.
• Experience in documentation management
• Demonstrated ability to lead a team or project.

Work Schedule

 Full Time with Weekend and Holiday Rotations

Work Locations

2850 S. Industrial Hwy Ann Arbor, MI 48104

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third-party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

In addition to the screenings indicated above under Michigan law, a criminal history check including fingerprinting is required as a condition of transfer or employment for this position.

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled any time after the minimum posting period has ended.

Vaccine Requirements

COVID-19 vaccinations are required for all students, faculty and staff working in the following areas: Michigan Medicine including the Medical School, Dental School, University Health Service or the Mary A. Rackham Institute.  This includes those working remotely and temporary workers.   More information on this new policy is available on the U-M Health Response.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.