Assistant Case Manager - Continuum of Care

About the role

The Assistant Case Manager I, II, & III position supports Case Managers in the department through scheduling, reception, records maintenance, coordination with other hospital clinics, and general assistance. This role works under close supervision and requires instruction and/or training.

Responsibilities

• Patient Care Coordination
• Ensures all charts and medical records are available for scheduled appointments or as requested.
• Captures and updates patient information in the electronic health record.
• Coordinates patient referrals, ensuring appropriate follow-up after provider sees patient.
• Aids in routine referrals, including scheduling diagnostic studies, clinic appointments, telemedicine visits, field clinics, and verifying patient travel/housing arrangements.
• Assists nursing staff with admissions, lab/radiology order entry, and electronic forms.
• Verifies that records of patient treatment are complete, accurate, and properly entered in the chart before forwarding to the Medical Records department.
• Utilizes tracking systems for patients in electronic health record and scheduling systems to maintain an appropriate database of patients requiring follow-up.
• Creates new records for patients in electronic health record.
• Insurance Verification
• Confirms patient insurance eligibility.
• Updates insurance changes or any changes affecting third-party billing in electronic health record.
• Clerical Duties
• Provides prompt response to phone calls/messages, mail, faxes, or patient portal messages.
• Maintains a variety of files, logs, and registers.
• Maintains fax log for department.
• Obtains medical reports or health information from other facilities or providers.
• Communicates with other ANMC departments and/or Tribal Health Organizations (THOs) to coordinate with other departments or THOs as needed.
• Schedules same-day appointments and ensures all information pertaining to visit is available.
• Schedules complex travel and/or living arrangements for patients.
• Screens each referral for previous visits and eligibility status before determining appointment type and tests needed prior to visit.
• Orders office supplies.
• Other Information
• Knowledge of customer service concepts and practice.
• Knowledge of multi-line telephone systems operation.
• Knowledge of privacy laws and regulations.
• Knowledge of basic medical terminology and clinic systems.
• Skills in oral and written communication.
• Skills in operating a personal computer utilizing a variety of software applications.
• Skills in operating office equipment such as copiers and fax machines.
• Skills in maintaining and updating clinical schedules.
• Skills in establishing and maintaining cooperative working relationships with others.
• Skills in managing multiple priorities and tasks.

Qualifications

• Minimum Education Qualification: High school diploma or GED equivalent.