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Case Management Assistant
2 months ago
Qualifications:
- High School Diploma or equivalent education/experience.
- Minimum of 1 year recent relevant experience in healthcare or care coordination.
- Strong oral and written communication skills.
- Excellent interpersonal and time management skills.
- Ability to work effectively in a fast-paced environment with shifting priorities.
- Ability to work independently with minimal supervision, while also collaborating effectively in a team.
- Intermediate PC skills and proficiency in word processing and electronic medical records systems.
Job Responsibilities:
- Collaboration and Assessment:
- Collaborate with Case Managers and Social Workers to conduct baseline patient assessments to identify post-hospital support needs and discharge requirements.
- Jointly develop TOC plans, discussing choices for post-acute providers, available resources, and communicating expected discharge dates and arrangements.
- Ensure patients and medical facilities receive information on benefit coverage, partnering with payers when necessary.
- Monitoring and Coordination:
- Monitor progress towards TOC goals, promptly escalating barriers to Case Managers and Social Workers.
- Keep patients and medical facilities informed about TOC plan progress throughout the hospital stay.
- Coordinate post-discharge referrals and authorizations in collaboration with the Care Coordination (CC) team.
- Facilitation of Discharge Process:
- Facilitate patient transfers to appropriate post-acute facilities, preparing necessary documents, obtaining physician signatures, and arranging transportation services.
- Departmental Goals and Objectives:
- Participate in rounds with Case Managers and Social Workers to provide updates and receive direction on required assistance.
- Deliver the Medicare “Important Message” (IM) to patients, informing them of their right to appeal discharge decisions.
- Proactively identify and resolve barriers that may delay TOC plans, escalating unresolved issues to appropriate personnel.
- Communication and Documentation:
- Maintain accurate and legible documentation according to department standards.
- Enter CC notes in the electronic medical record to track referral statuses and communications.
- Record patient preferences and key CC discussions in the electronic medical record.
- Ensure timely closure of discharge cases in Allscripts after finalizing post-discharge providers.
- Customer Service:
- Demonstrate tact and respect in all interactions with customers.
- Build positive relationships with customers and partners through effective communication and issue resolution.
- Provide and accept constructive feedback from colleagues and leaders to enhance service delivery.
- Identify and escalate quality and risk management concerns to leadership as needed.
- Ensure compliance with confidentiality policies and HIPAA regulations when transmitting patient information to external agencies or vendors.
Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.