Case Management Assistant

Requirements

• Required: Two (2) years of experience working in healthcare
• Preferred: Experience as a Front/back office assistant or in Patient Financial Services
• Reports To: Manager
• Supervises: N/A
• Ages of Patients: N/A
• Blood Borne Pathogens: Minimal/ No Potential
• Skills, Knowledge, Abilities:
• Essential Responsibilities
• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.
• Assists in referring and faxing of discharge referrals to outside agencies (skilled nursing, sub-acute and acute care facilities, transitional care, rehab services, home health agencies, DME companies and other providers).
• Assists in facilitating acquisition of appropriate insurance information and authorization prior to discharge.
• Assists in ensuring completion of all necessary post discharge paperwork and sends to provider as directed.
• Confirms agency/facility acceptance and time of transfer; makes transportation arrangements as directed; routinely and timely communicates this information via email and/or verbally to appropriate Case Manager, Social Worker or Nurse Navigator.
• Performs phone calls and faxes information to complete Medi-Cal 10-bed call list and other bed searches; documents bed search information in medical record.
• Communicates results of Medi-Cal 10-bed search and other bed searches to appropriate Case Manager, Social Worker or Nurse Navigator; informs them of barriers to acceptance and potential accepting facilities in order for them to communicate to patient/family and facility as needed.
• Assists in preparing patient packets when needed, i.e., by copying medical records, printing reports from computer, collating required information and preparing transfer envelope.
• Communicates with leadership when issues or needs for process changes are identified.
• Maintains community resource list.
• Assists in the distribution of Medicare IMM letters and in obtaining signatures, if applicable.
• Assists with Medicare appeals by gathering all information, faxing to the QIO, confirming that information was received, completing log, following up on outcome and communicating with appropriate team, if applicable.
• Assists in making PCP post discharge appointments of high risk patients as needed to prevent readmissions.
• Assists in taking-off and communicating voice mail messages.
• Asks for help when necessary and willingly assists co-workers when necessary to promote efficiency and to provide quality service.
• Determines priority in workload; completes a typical day's assigned workload within the scheduled shift.
• Maintains current knowledge and awareness of payer reimbursement practices and regulations impacting the patients plan for care and discharge plan.
• Performs other duties as assigned.

Benefits

Additional Information

Default Work Shift: Day (United States of America) Hours: 24 Salary range: $19.72 - $29.95 Schedule: Part Time Shift Hours: 8 Hour employee Department: Case Management Social Services Job Objective: Provides clerical support to Case Managers, Social Workers and other members of the department in order to maintain efficient discharge planning processes and department operations. Job Description: Education: Required: High school diploma, GED or higher level degree Preferred: Associate's degree Licensure/Certification: Preferred: Medical Assistant, Certified Nursing Assistant, Medical Terminology or other health related certification

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