Case Management Assistant, Case Management, Full Time, Evenings

3 weeks ago

Miami, United States Jackson Health Full time

Department: Jackson Memorial Hospital - Clinical Resource Case Management

Address: 1611 NW 12 Ave, Miami, FL 33136

Shift details: Full Time, 12:00 PM - 8:30 PM, weekends/holidays rotational


Why Jackson Memorial Hospital: Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

Summary

The Case Management assistant provides daily support to the Clinical resource Management Department in the process of quality and utilization data necessary for the day-to-day operations of the dept. Facilitates appropriate follow up in administering The Centers for Medicare & Medicaid Services forms (Medicare outpatient Observation notices and Important Message forms to enhance the quality of the services being provided to our patients across the system.

Responsibilities

  • Provides the Centers for Medicare & Medicaid Services CMS forms (MOONS, IMs) to patients in a safe, timely, and effective manner. 
  • Verifies and assures that documentation entered within the patients' medical records are entered accurately and kept confidential.
  •  Responds and verifies inquiries from CRM leadership team and/or responsible parties.
  •  Interacts with patients to keep track of their progress and to ensure satisfaction.
  •  Adhere to professional standards as outlined by protocols, rules and regulations.
  •  Develops effective working relationships with CRM team. 
  • Facilitates multiple care aspects as requested by CRM leadership team for DC planning (case coordination, information sharing, etc).
  •  Under direction of CRM leadership, assist with the daily referrals, per standard protocols, to Primary Care Physician and JHS specialty clinics, scheduling diagnostic studies and other clinics appointment and procedures.
  •  Coordinates with outpatient studies as needed. 
  • Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
  •  Performs all other related job duties as assigned. 
  • The incumbent may attend management meetings and may be involved directly or indirectly around confidential management decisions


Experience

Generally requires 1 to 3 years of related experience.

Preferred Experience

Case management assistant experience strongly preferred. 

Education

High school diploma is required.

Credentials

Valid license or certification is required as needed, based on the job or specialty.


Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.


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