Non-Clinical - Administrative/Case Management Assistant

Hours: 10am – 6:30pm PST

Weekends: On rotation every couple of weeks

Holidays: Required

Contract: 3-6 months

Please indicate on Question 4 that the candidate agrees to the above. Failure to do so will result in rejection and request for resubmission.

Location: 100% remote - Supporting Pacific Time Zone. Prefer NEV/OR candidates - NO WA candidates.

Requirements

• Must have knowledge and experience with Epic EHR.
• Must be open to rotating weekends.
  
  

Key Responsibilities

• Assist with UR transmission, handling a high volume of faxes and voicemails, and data entry. Epic knowledge is preferred.
• Coordinate and implement the Transition of Care (TOC) / Discharge (DC) plan for ambulatory patients, prioritizing and coordinating the plan across the continuum of care.
• Collaborate with Case Managers and Social Workers to develop and execute TOC plans, ensuring timely discharge.
• Monitor progress towards TOC goals, escalating barriers to Case Managers and Social Workers as needed.
• Coordinate necessary post-discharge referrals and authorizations in collaboration with the Care Coordination (CC) team.
• Facilitate the transfer of patients to appropriate post-acute facilities, including document preparation and transportation assistance.
  
  

Departmental Goals & Objectives

• Participate in rounds with Case Managers and Social Workers to provide updates and receive direction.
• Deliver the Medicare "Important Message” (IM) and inform patients or facilities of their right to appeal discharge decisions.
• Proactively identify and resolve barriers to timely TOC plans, escalating unresolved issues as needed.
• Actively participate in team huddles and department meetings, contributing to decision-making and planning.
  
  

Communication

• Maintain accurate, current, and legible documentation according to department standards.
• Enter CC notes in the electronic medical record to capture the status of referrals and communications.
• Provide clerical support, including copying, faxing, scanning, and data entry.
  
  

Customer Service

• Demonstrate tact and respect for all customers, building positive relationships with partners.
• Use effective communication skills to resolve issues promptly and productively.
• Comply with confidentiality policies, HIPAA regulations, and department standards when transmitting patient information.
  
  

Education

Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma or equivalent education/experience required.

Experience

1-year recent relevant experience.

Skills and Knowledge

• Strong oral and written communication skills.
• Effective interpersonal and time management skills.
• Ability to work independently and prioritize tasks in a fast-paced environment.
• Intermediate PC skills and word processing skills required.