Care Management Resource Center Specialist

Cleveland Clinic

Care Management Resource Center Specialist role at Cleveland Clinic supporting patient transitions and collaborating with healthcare providers in a remote setup.

Posted 7/31/2026full-timeRemote • Ohio • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing post-acute pre-certification processes and facilitating communication between healthcare providers and agencies. Proficient in data tracking and collection to identify trends and support discharge planning.

Highest-signal resume keywords

Post-Acute Pre-Certification ManagementHealthcare CommunicationData Tracking and CollectionMedical Terminology FluencyAdministrative Experience in Healthcare

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data TrackingPre-Certification ProcessHealthcare DocumentationReferral ManagementCommunication Skills

Soft Skills

Verbal CommunicationWritten CommunicationOrganizational Skills

Tools & Technologies

AllScripts Care ManagementHealthcare Electronic Notification System (HENS)

Industry Keywords

HealthcareInpatient Social WorkTransitional Care CoordinationCommercial InsurancePatient Discharge Planning

About the role

Key responsibilities & impact

Support the Transitional Care Coordinator and Inpatient Social Worker with specified non-clinical work.
Initiate contact with payers to facilitate precertification for transfer to post-acute facilities, provide clinical documentation and ensure timely follow up calls.
Initiate contact with post-acute agencies, provide updates as requested and facilitate placement.
Facilitate 7000 forms by Healthcare Electronic Notification System (HENS).
Place and close referrals in AllScripts Care Management.
Handle calls from commercial payor case managers with questions regarding admitted patient’s discharge plans.
Manage post-acute pre-cert process for commercial insurance patients needing pre-cert to post-acute facilities.
Provide necessary verbal and electronic communication to and from care management staff, serving as a liaison between hospital personnel and the various agencies.
Serve as a central hub communicator for discharge plan information.
Completes data tracking and collection to assist with the identification of routine statistics and problems or trends.

Requirements

What you’ll need

High School Diploma or GED
Three to five years of current administrative/clerical experience working in healthcare or a related field
Fluency in medical terminology
Computer literacy
Excellent verbal and written communication and organization skills

Benefits

Comp & perks

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