Case Management Assistant

Position Summary / Career Interest

The Case Management Assistant works under the direction of the Social Work Manager in Case Management, providing care/service safely and efficiently for a full range of services to patients of all ages and their families. The CMA supports the department's operations and communications in both the point of entry and inpatient settings, collaborating with the healthcare team to facilitate coordination of services.

Responsibilities And Essential Job Functions

• Maintain patient, employee, physician and corporate confidentiality; respect the rights, privacy and property of others.
• Communicate timely, relevant and accurate information to Case Managers and professionals involved with patient’s care; maintain routine communication with case managers on referral requests; communicate Social Work and Case Management referrals to the assigned staff and notify the department director/manager when staff is unable to facilitate the referral.
• Receive, screen and route telephone calls and written communications to appropriate staff; return calls and communicate messages as needed; inform staff members of correspondence requiring immediate attention/action.
• Communicate with payers for verification of benefits on specific patients at the case manager’s request; alert appropriate staff to adverse determination responses from insurance companies.
• Fax surgery procedure updates to the Business office staff for Medicaid reimbursement coordination and communication.
• Receive and record new/changed contact information for the sitter’s list; route contact information from Home Health agencies to appropriate staff to facilitate continuity of care.
• Facilitate the progression of care by obtaining all necessary forms to initiate referrals for the transition of care; distribute post-acute placement requests as directed by the RN, CM and SW; monitor the patient’s progression towards the desired outcome; facilitate certain aspects of the discharge planning, resource referral and patient education.
• Participate in RN, CM and SW team planning meetings; integrate the work of the healthcare team by coordinating resources and services requested by the team to assist in accomplishing agreed-upon goals and desired discharge plan. Continuously monitor the patient through frequent interactions with the inpatient team starting at admission through discharge to assist in timely referrals and coordination of post-acute needs.
• Demonstrate ability to balance cost and quality to assure optimal clinical and financial outcomes.
• File and maintain insurance communication documents and communication/tracking logs.
• Maintain social work and case management forms and restock forms as needed.
• Complete special projects and/or assignments required to support staff/department operations.
• Must be able to perform the professional, clinical and/or technical competencies of the assigned unit or department. These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities.

Skills and duties may vary dependent upon your department or unit.

Other duties may be assigned as required.

Required Education And Experience

• High School Graduate
• 3 or more years broad administrative/secretarial experience

Preferred Education And Experience

• Associates Degree
• Bachelor’s Degree
• Healthcare background

Knowledge Requirements

• Some knowledge of contractual reimbursement methodology
• Some knowledge of community agencies/resources

Must have

• Excellent verbal and written communication skills
• Strong customer service skills
• Capable of working with multiple tasks simultaneously
• Organizational skills and confidentiality
• MS Office program experience

Time Type

Full time

Job Requisition ID

R-53720

Important Information For You To Know

• The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.
• The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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