COORD, CASE - HME

Job Description

Job ID: 1195274
Employment Status: Full-Time
Your Career. Made Better.

BJC Home Care Services offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs as well as the Lifeline emergency response system. BJC Home Care Services provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.

The Home Medical Equipment Department of BJC Home Care Services offers quality medical equipment and services that our patients can purchase or rent. We offer equipment delivery and comprehensive training on the use of the equipment. The Home Medical Equipment Department also provides home respiratory equipment, supplies and services for patients who need home oxygen or other respiratory therapies, with staff that include registered therapists and other highly trained professionals.


Join Us!


Role Purpose

Coordinates the HME referral process, ensuring cost effective, high quality care for each patient. Verifies pricing and obtains pre-authorization as required in advance of services being provided. Maximizes reimbursement by accurately determining appropriate payer, eligibility and coverage criteria.


Responsibilities

  • Serves as subject matter expert Medicare and Medicaid as well as other payers coverage criteria.
  • Identify, verify, and obtain pre-authorization of insurance benefits for services and products ordered at the onset of care.
  • Ensures appropriate and cost effective use of services and resources.

  • Minimum Requirements

     

    Degree

  • Associate's Degree
  • - Respiratory Therapy

     

    Experience

  • 2-5 years
  •  

    Supervisor Experience

  • No Experience
  •  

    Licenses & Certifications

  • CRT

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Bachelor's Degree
  •  

    Licenses & Certifications

  • Case Management

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer