Case Management Assistant

Responsibilities

• Implements patient discharge plans prepared and delegated by social work or nurse case management by coordinating with home care agencies, post-acute care facilities, durable medical equipment companies, transportation agencies and others as indicated.
• Collaborates with social worker/nurse case manager and others to confirm authorization for services is in place.
• Affords assistance in collecting data related to patient outcomes and auditing data for accuracy.
• Prepares documents and reports required for internal and/or external groups in the scope of care coordination activities and/or data collection.
• Documents activities and progress in medical charts, computer billing/utilization systems, or in other ways as directed.
• Collaborates with internal and/or external partners to address financial advocacy for patient/organization.
• Issues CMS Important Messages to patients/designees.
• Inputs clinical information into computer database.
• May be required to participate in quality improvement initiatives per the department.

Requirements

• Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.
• Demonstrated ability to perform the essential functions as outlined above.
• Demonstrated human relations and effective communication skills.
• Demonstrated knowledge of medical procedures and terminology.
• Ability to handle highly sensitive or confidential issues.
• Ability to successfully manage multiple priorities.
• Ability to work independently and as a team player.

Qualifications

• Completion of a hospital provided medical terminology course within six months of hire.
• Two years of college level education in healthcare or a related field.
• One year of experience in a utilization review or case management environment.
• Basic Life Support Health Care Provider card through American Heart Association may be required within one month of hire.