Billing Service Managers

Billing Service ManagersJobs for Humanity is collaborating with Upwardly Global and with Billings Clinic to build an inclusive and just employment ecosystem. We support individuals coming from all walks of life. Company Name: Billings Clinic Under the direction of department leadership, social service care manager staff provide services consisting of comprehensive case management, care coordination, continuing care services, and clinical social work services including crisis intervention and emotional support within the professional's defined scope of practice. In addition, the social services care manager is responsible for providing education addressing physical, psychosocial, financial, environmental, and other needs of patients and families and/or significant others. The social services care manager is part of an interdisciplinary team who promotes health and address medical and non-medical barriers. Essential Job Functions: Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental, and outside agency requirements. Coordinates patient needs between support systems, healthcare professionals, community, and state agencies. Serves as a liaison between hospital, clinic, and community agencies to facilitate care coordination and the exchange of clinical and referral information. Advocates for and assists the patient as they move across the care continuum. Treats all patients with compassion and respects individual rights to self-determination. The responsibilities of the SW care manager are listed below, in order of priority and intended to ensure effective prioritization of tasks: Priority 1: Reviews New Patients for Psychosocial Needs Priority 2: Initiates and Coordinates Discharge Planning for Assigned Patients Priority 3: Attends MDRs, Department Meetings, and Additional Trainings Priority 4: Leads Patient-Family Conferences Priority 5: Escalates Barriers as Appropriate Insurance and Utilization Management: Maintains working knowledge of CMS requirements and readmission penalties Maintains working knowledge of insurance/payer benefit Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession Assures documentation and patient information is secure and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines Participates in continuing education, department planning, work teams and process improvement activities Maintains current Licensure Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety Demonstrates the ability to be flexible, open minded and adaptable to change Maintains competency in organizational and departmental policies/processes relevant to job performance Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession Performs all other duties as assigned or as needed to meet the needs of the department/organization