Case Management Assistant

About the Role

The Case Management Assistant (CMA) works under the direction of the RN Case Manager or Social Worker to facilitate patient discharges requiring post-acute placement or services, identify and report barriers to discharges, coordinate timely referrals, and facilitate payor authorizations where applicable. The CMA also provides support in areas that do not require licensed personnel.

Responsibilities

• Coordinates with RN Case Manager and Social Worker for support needed.
• Communicates updates on progress throughout the day.
• Refers patient questions back to the case manager/social worker.
• Provides clerical support of multidisciplinary rounds, including updating NATE Tempo at direction of team.
• Makes referrals through the web-based referral system (nH Discharge/Other) to the specific post-acute care (PAC) providers requested, including sending the appropriate packet of information from the medical record required for the level of care.
• Makes appointments for outpatient hemodialysis.
• Monitors all patients with PAC referrals and intervenes to expedite placement.
• Prioritizes workload to ensure timely contact and intervention with PAC settings.
• Sends additional information to PAC provider when requested.
• Communicates with RN Case Managers/Social Workers regarding the status of PAC referrals, bed availability, and other barriers that cannot be resolved.
• Communicates results of PAC referrals with the patient, including having the Patient Choice letter signed.
• Monitors Medicare patient’s planned discharge dates and delivers the Important Medicare Message (IMM) to the patient per facility policy.
• Delivers the Beneficiary Notice to patients identified as being in the BPCI-A program (Bundle Payment hospitals only).
• Obtains physician signature on required case management documents.
• Sets up transportation/sends information to Transfer Center and generates discharge packets for PAC transfers, based on facility practice.
• Utilizes Case Management systems, standards, and processes.
• Maintains knowledge of and actively develops relationships with PAC providers and payers.
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies.
• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

Qualifications

• Associate Degree preferred.
• Medical knowledge and terminology required.
• Minimum of two years experience in a healthcare setting required.
• Currently licensed/certified as a healthcare professional (CNA, EMT) preferred.

Benefits

HCA Florida Westside Hospital offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

Note: Eligibility for benefits may vary by location.

About the Facility

HCA Florida Westside Hospital is a 250-bed medical center and healthcare complex founded in 1974. The facility offers:

• The latest in minimally invasive spine and colorectal surgery.
• One of nine Joint Commission-certified centers in the United States for minimally invasive colorectal surgery.
• A Comprehensive Stroke Center certified by the Agency for Health Care Administration (ACHA).
• Certification as a Thrombectomy Capable Center by the Joint Commission.
• Graduate Medical Education (GME) programs in podiatry, surgery, and internal medicine.

The hospital is committed to expanding and improving every facet of the organization, devoting significant time and resources to enhancing its facility, staff, and medical care. It is one of the leading healthcare facilities in South Florida, with a family-oriented team of more than 1,200 professionals and nearly 750 physicians.