What are the responsibilities and job description for the Case Management Assistant position at CoreTechs?
Case Management Assistant
100% USA Remote - Supporting Central / Eastern time zones - No CA candidates
Shift : Day 5x8-Hour (09 : 00 - 17 : 00)
Must have knowledge and experience with Epic EHR
Must be open to rotating Weekends
Helping with UR transmission
Working high volume of faxes and voice mails
Data entry
Epic knowledge preferred
Note : MUST be legally authorized to work in the United States.
SUMMARY :
Coordinates and implements the transition of care (TOC) / Discharge (DC) plan for ambulatory patients. Prioritizes and coordinates the plan across the care of continuum through critical thinking, teamwork, and communication between care providers, patients, families and external vendors to ensure timely discharge
JOB ACCOUNTABILITIES :
Collaboration with Care Coordination (CC) Team to Execute Transition of Care (TOC) Plan :
Collaborates with Case Managers and Social Workers in baseline patient assessment to identify post hospital support and any discharge needs
Collaborates with Case Managers and Social Workers jointly to communicate and problem solve in the development of the TOC plan including offering choices and preferences for post-acute providers, available resources and sharing the expected discharge date and disposition
Ensures the patient and medical facility receives information on benefit coverage including partnering with payers when needed
Monitors progress towards meeting the TOC goals and escalates to Case Managers and Social Workers any barriers to achieving the recommended goals identified in the plan
Assures the patient and medical facility are kept informed of the progression of the TOC plan throughout the hospital stay
Coordinates all the necessary post discharge referrals and authorizations in collaboration with the CC team
Monitors and communicates with Case Managers and Social Workers regarding status of post hospital provider referrals, identification of barriers and / or progress in TOC goals throughout the day to promote timely discharge
Facilitates the transfer of a patient to an appropriate post-acute facility, by preparing documents for the receiving provider, assisting in obtaining physician signatures and providing assistance with transportation services
Departmental Goals & Objectives :
Rounds with Case Managers and Social Workers on units to provide updates and / or receive direction on assistance needed
Delivers the Medicare "Important Message" (IM) and informs patient or medical facility of their right to appeal their discharge
Proactively identifies, communicates and resolves barriers that impede a timely TOC plan; escalate unresolved barriers to Case Managers and Social Workers or leadership
Actively participates in daily team huddles and CC department meetings
Contributes to team decision-making process in planning daily priorities, resolving barriers and conflicts with action plans and creative solutions
Collaborates with team members on interdependent tasks
Demonstrates initiative and flexibility in working with intra / interdisciplinary teams
Actively shares knowledge and information with team members
Builds and maintains relationships that foster trust and confidence
Communication :
Maintains accurate, current and legible documentation according to department standards
Enters CC note in the electronic medical record as needed to capture the status of referrals / communication for each patient
Captures patient / medical facility preference(s) and other key CC discussions and agreements in the electronic medical record
Enters final post-discharge provider and assures closure of discharge cases in Allscripts
Provides clerical support as needed including copying, faxing, scanning and data entry
Completes all forms required for department reporting
Customer Service :
Demonstrates tact and respect for all customers
Actively builds positive relationships with all customer and partners
Uses effective communication skills to resolve issues in a timely, positive and productive manner
Willingly provides and accepts direct, constructive feedback to and from colleagues and leaders
Identifies and escalates quality and risk management concerns to CM leadership team
Complies with confidentiality policies, Health Insurance Portability and Accountability Act (HIPPA) regulations, and department standards when transmitting patient information to agencies or vendors as needed for patient placement and referral
QUALIFICATIONS : Education :
Equivalent experience will be accepted in lieu of the required degree or diploma
HS Diploma or equivalent education / experience
Typical Experience :
At least 1 year recent relevant experience
Skills and Knowledge :
Oral and written communication skills
Interpersonal and time management skills
Ability to work effectively in a fast-paced environment with rapidly shifting priorities and competing demands
Ability to work independently with a minimum of direction
Ability to exercise discretion and prioritize tasks, seeking input as indicated
Intermediate PC skills and word processing skills required
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.
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