Case Management Assistant

About the Role

This role supports the Case Management Nurses in various tasks, including monitoring patients on the hospital census, scheduling patient appointments for hospital follow-ups and the High-Risk Team, and facilitating the coordination of authorized Referral Services.

Responsibilities

• Utilizes multiple sources to compose an accurate daily Hospital Census capturing all Secure Horizon / Evercare patients in the hospital, SNF, outpatient surgery facilities.
• Distributes census per protocol to appropriate physician and staff.
• Based on hospital discharges, contacts patients/families to schedule timely Hospital Follow-up appointments.
• Communicates patient concerns promptly to the Case Manager nurses for attention and follow-up.
• Schedules patients to the High-Risk Team of providers for appropriate visit/care based on HRT audit.
• Assists in tracking High Risk patients and completion of audit plan.
• Receives inbound calls to assist patients with health plans or care-related issues.
• Assists patients with information about community resources available to support their healthcare/social needs.
• Arranges transportation for patients to/from healthcare visits.
• Assists with producing letters, faxing documents, and mail outs (certified and other).
• Maintains strictest member and company confidentiality.
• Performs other duties as assigned by supervisor.

Requirements

• All duties performed will be done accurately and in a timely manner.
• Develop and maintain supportive, productive, and effective relationships with external and internal partners.
• Excellent written and verbal communication skills.
• Strong attention to detail and exceptional organizational skills.
• Manual dexterity, ability to sit, stand, stoop, reach, kneel, crouch, bend, and walk for extended periods.
• Ability to lift up to 40 lbs. without assistance.
• Close vision and ability to adjust focus.
• Ability to work efficiently under pressure.

Work Environment

Depending upon the area assigned, may be 100% clinical setting or office setting in a clinic environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.