Case Management Assistant, Jackson Memorial Hospital, Days

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and a beacon of medical excellence and community care for over a century. Located in the heart of Miami, it is a world-class academic medical center with 1,500 licensed beds, offering nearly every medical specialty through a skilled multidisciplinary team.

About the role

The Case Management Assistant provides daily support to the Clinical Resource Management Department, facilitating quality and utilization data essential for day-to-day operations. This role ensures appropriate follow-up in administering Centers for Medicare & Medicaid Services (CMS) forms to enhance patient service quality across the system.

Responsibilities

• Provides CMS forms (MOONS, IMs) to patients in a safe, timely, and effective manner.
• Verifies and ensures accurate and confidential documentation in patients' medical records.
• Responds to inquiries from CRM leadership and responsible parties.
• Interacts with patients to track progress and ensure satisfaction.
• Adheres to professional standards as outlined by protocols, rules, and regulations.
• Develops effective working relationships with the CRM team.
• Facilitates multiple care aspects as requested by CRM leadership for discharge planning, including case coordination and information sharing.
• Assists with daily referrals, per standard protocols, to Primary Care Physicians and JHS specialty clinics, scheduling diagnostic studies, and other appointments.
• Coordinates with outpatient studies as needed.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect, and Expertise).
• Performs all other related job duties as assigned.

Requirements

• Generally requires 1 to 3 years of related experience.
• High school diploma is required.
• Valid license or certification as needed, based on the job or specialty.

Skills

• Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
• Effective communication in both oral and written form.
• Ability to handle difficult and stressful situations with critical thinking and professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in using job-appropriate technology and software applications.

Working Conditions

Physical Requirements

• Job function is sedentary, requiring sitting for extended periods, with frequent standing or walking.
• Must be able to lift or carry objects weighing up to 20 pounds.
• Requires close visual acuity for extended computer use, data analysis, and other office activities.

Environmental Conditions

• Fast-paced environment with occasional high pressure or emergent and stressful situations.
• Frequent interaction with a diverse population, including team members, providers, patients, insurance companies, and the public.
• Subject to inside environmental conditions, with occasional outdoor exposures.
• Possible exposure to communicable diseases, toxic substances, medicinal preparations, and other hospital or medical office conditions.
• May require wearing Personal Protective Equipment (PPE) such as gloves or a mask when outside the office environment.

Schedule

Full-Time, Day Shift - Monday through Friday, 8:00 AM - 4:30 PM.