Managed Care Liaison

Are you passionate about making a difference in the lives of children? Join us at Weisman Children’s Rehabilitation Hospital, one of the region’s top children’s rehabilitation organizations, as we expand and evolve! With numerous exciting opportunities available, this is your chance to be part of a thriving team dedicated to excellence in pediatric care. As we grow, we offer unparalleled support, advanced tools, and a collaborative environment while contributing to our mission. Come grow with us and shape the future of children’s rehabilitation! 

We are recruiting for a full-time Managed Care Liaison to join our skilled team of pediatric professionals in Marlton, NJ. This position is benefits eligible. 

About Us:

Weisman Children's is a highly-acclaimed, community-based pediatric organization consisting of an acute care rehabilitation hospital, outpatient rehabilitation centers, and medical day care centers. We specialize in delivering individualized, family-centered care. By including family and caregivers in every step of the rehab process, along with an interdisciplinary approach to treatment, we give our patients every opportunity to reach their fullest potential. We are an equal opportunity employer. #W1

Why Choose Us:

You chose healthcare to make an impact. At Weisman Children's, we inspire you to help change lives and unlock the potential of every child, every day. Our culture is driven by our community, our values, and our team.

We are also proud to offer the following benefits:

· Medical, dental, vision coverage

· 401(K) Retirement Program with employer match

· Employer paid life insurance policy

· Employee Recognition Program

· Company discounts at select retailers

· And much more!

POSITION SUMMARY:
The Managed Care Liaison serves as a vital connection between patients, families, referral sources, and the hospital, ensuring a seamless transition into rehabilitative care. This role focuses on facilitating admissions by verifying benefits, reviewing clinical documentation, and coordinating with the Medical Director and Admissions Team to secure necessary authorizations. The Care Liaison also plays a key role in patient and family education, guiding them through the admission process, reviewing required documentation, and addressing any questions or concerns. Beyond admissions, the Care Liaison actively supports the hospital’s mission by fostering strong relationships within the community and referral networks. Through patient assessments, medical record reviews, and effective communication, this position ensures that every patient receives the appropriate level of care in a timely and efficient manner. Additionally, the Managed Care Liaison contributes to hospital initiatives by participating in tours, outreach efforts, and committees that enhance patient access and organizational goals.

Key Responsibilities

• Timely and accurately enter all referral, admission, denial, and conversion notes into the Dashboard to ensure up-to-date and reliable data tracking.
• Verify Medicaid benefits and secondary insurance coverage, ensuring all necessary clinical information is included for Medical Director/Admissions Team review.
• Initiate and obtain authorizations, ensuring compliance with insurance requirements and guidelines.
• Pre-admit and admit patients into CPSI system, completing necessary documentation.
• Review all patient forms with the patient or responsible party and secure required signatures for the admission process.
• Assist in coordinating and/or conduct WCRH hospital tours with prospective families, providing them with comprehensive information about the facility and services offered.
• Communicate admission dates, transport logistics, and contact numbers to nursing and physician teams for sign-out coordination.
• Facilitate effective communication both internally and externally with team members, insurance providers, and families.
• Work collaboratively with various hospital teams to enhance teamwork and ensure smooth admissions processes.
• Assist in maintaining referral relationships within the geographic territory by conducting face-to-face interactions with potential referral sources.
• Assess patients to determine care needs, review medical records, and collaborate with hospital teams to ensure safe and timely transfers to the hospital.

POSITION QUALIFICATIONS:

• Associates Degree or equivalent; preferred
• 2+ years of insurance experience in a healthcare setting; specifically working with health insurance verification and authorization
• Licensed professional in a clinical healthcare specialty; LPN preferred
• Strong analytical and detail-oriented thinking, with a focus on accuracy and efficiency
• Ability to work in a deadline-driven environment and manage multiple responsibilities simultaneously
• Ability to handle confidential and sensitive information with discretion and professionalism
• Proficient in computer use
• Knowledge of EMR systems and experience with healthcare software programs such as Navinet, One Source, Cigna, United Healthcare, Horizon, Geico, and Availity.

Please visit our careers page to see more job opportunities.