What are the responsibilities and job description for the Coordinated Care Assistant - Utilization Review position at The University of Mississippi Medical Center?
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Human Resources
Important Applications Instructions:
Please complete this application in entirety by providing all of your work experience, education and certifications/
license. You will be unable to edit/add/change your application once it is submitted.
Job Requisition ID:
R00041433
Job Category:
Clerical and Customer Service
Organization:
Adult Social Workers
Location/s:
Main Campus Jackson
Job Title:
Coordinated Care Assistant - Utilization Review
Job Summary:
Works under the supervision of the RN case manager or the Social Worker. The position is responsible for supporting the coordination of care activities. May interact with insurance companies, home care agencies, skilled nursing facilities, durable medical equipment companies, or transport agencies.
Education & Experience
High school diploma or GED required. Health care experience preferred.
Certifications, Licenses or Registration Required: N/A
Certifications, Licenses or Registration Required: N/A
Knowledge, Skills & Abilities
Demonstrated ability to perform the essential functions as outlined. 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.
Responsibilities:
- Implements patient discharge plans prepared and delegated by social work or nurse case management team members. This is done by coordination with home care agencies, post-acute care facilities, durable medical equipment companies, transportation agencies and others as indicated.
- Assists in collecting data related to patient outcomes and auditing data for accuracy.
- Documents activities within appropriate medical record, or in other ways as directed.
- Issues CMS forms (Important Message, MOONS, etc.) to patients/designee.
- Ensures referral information is accurate.
- Follow up on delays in patient transition including, contacting facility to confirm referral was received; assure all appropriate documents have been sent; contact facilities daily until patient transferred; arrange appropriate transportation.
- The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.
Physical and Environmental Demands:
Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional bending, frequently lifting and carrying < 10 pounds, occasional crouching/stooping, occasional kneeling, occasional reaching, frequent sitting, constant standing, occasional twisting, and frequent walking. (occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)
Time Type:
FLSA Designation/Job Exempt:
No
Pay Class:
Hourly
FTE %:
100
Work Shift:
Benefits Eligibility:
Grant Funded:
Job Posting Date:
02/26/2025
Job Closing Date (open until filled if no date specified):
