Care Management Assistant

Maintain Insurance Authorization Updates

• Uses various online insurance portals to ensure efficient insurance authorization updates.

Accurate and Timely Coding

• Accurately codes patients with Medicare plans to achieve expected Length of Stay as per CMS guidelines.

Discharge Planning and Resource Utilization

• Facilitates the discharge of patients from the hospital to home or extended care facilities.
• Covers various processes and tasks related to discharge planning and resource utilization.

Discharge Forms and Signatures

• Provides and explains discharge forms to patients, including Medicare Discharge Rights forms.
• Ensures proper completion and appropriate signatures are obtained on discharge forms.

Resource Research and Coordination

• Assists in researching available resources and needs to facilitate discharge.

Coverage and Support

• Provides coverage for the Care Management Assistant and Care Management Administrative Coordinator when they are away from the facility.

Data Entry and Report Generation

• Performs data entry and generates reports as needed.

Knowledge, Skills & Abilities

• Bachelor’s degree in social work, psychology, or a related field preferred.
• Two years of experience with knowledge of community resources, healthcare systems, and interdisciplinary functioning preferred.
• Able to use professional concepts and apply company policies/procedures to work through multifaceted barriers affecting discharge.
• Able to exercise judgment within defined procedures and practices to determine appropriate action.
• Interpersonal communication and advocacy skills required to work with patients and families, and various medical professionals within and outside of the hospital.
• Capable of learning and utilizing technology to collect and analyze data and prepare and aggregate reports.

Working Conditions

• Normal office environment with little or no exposure to dust or extreme temperature.