Care Management Assistant
2 weeks ago
The Care Management Assistants primary function is to provide clerical support for Care Management department. The Care Management Assistant communicates with and coordinates post-discharge services as directed by the Inpatient Care Coordinators, the Utilization Management Nurses, and Social Workers. Data collation, coordination of services and interfacing with patients, families and the health care team are major components of the role. The Care Management Assistant will also perform general Office administrative duties as required.Essential Responsibilities:
- ADVANCED SUPPORT
- Functions as a key point of contact amongst Care Management, Utilization Review and Social Work staff, and payer source to obtain and document authorization for current and post-hospital care needs through the use of Health Connect patient information and approved guidelines.
- Prepares placement packets while in close communication with Physician, Transition Pharmacy, Staff Nurse, and others as applicable.
- Obtains and submits medical records for outside entities.
- Documents in progress note, such as tasks performed in the Skilled Nursing Facility (SNF) Transport, screening, etc.
- Coordinates durable medical equipment, such as ordering equipment and documenting in progress notes.
- Coordinates with Transition Pharmacy per policy; picks up medications to discharge patient.
- As directed based on patient needs, holds advance directive conversations.
- Schedules follow up appointments as needed.
- Provide secondary support to Patient Access Representative and Care Coordinators in providing important message from Medicare notices.
- BASIC ADMINISTRATIVE SUPPORT
- Facilitates, identifies and documents all referrals and transportation arrangements to appropriate facilities or agencies; communicates status with case management and nursing staff; and completes transport packet.
- Collects and collates data related to patient care in collaboration with Care Management, Utilization review and Social work departments. Utilizes data for compilation related to, but not limited to, readmission, dashboards, etc.
- Interfaces with patients to communicate Medicare rights and to provide written documentation for the appeal process.
- Provides additional office support as required and based on operational need.
- Coordinates outpatient transitions and outpatient services, including, but not limited to, Mobile Health Partners, SNF, Project Access Now, Transport, Performs preliminary discharge screenings as directed.
- Other duties as assigned within scope of job description.
Experience
- Minimum two (2) years of experience related to clinical health care.
- Per the National Agreement, current KP Coalition employees have this experience requirement waived.
- High School Diploma or General Education Development (GED) required.
- N/A
- Certification of completion for Medical Terminology studies or previous CNA/MA designation, or other designation that incorporates Medical Terminology studies.
- Knowledge and expertise in developing and using data management tools, software, and office machines.
- Excellent time management skills and the ability to work within strict timeframes.
- Must be flexible, well organized, and able to prioritize appropriately with strong time management and follow-through skills.
- Excellent written and verbal communication.
- Ability to work independently as well as the ability to establish and maintain cooperative and team oriented working relationships with others.
- Basic knowledge/understanding of external regulatory requirements.
- Familiarity with managed health care environment.
- Familiarity with medical terminology.
- Familiar with healthcare organizations: structure and operations.
- Demonstrated excellent verbal and written communication skills.
- High attention to detail, critical thinking, good judgment in decision-making.
- Demonstrated proficiency with computers, email systems, and business office products including: Microsoft Word, Excel, PowerPoint, working in tables and document formatting.
- AA/AS (two-year college degree).
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