Care Management Assistant Winter Park

All the benefits and perks you need for you and your family:

• Benefits from Day One

• Paid Days Off from Day One

• Career Development

• Whole Person Wellbeing Resources

Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full time

Shift: Days

Location: 201 NORTH LAKEMONT AVENUE, Winter Park, 32792

The community you'll be caring for:

• Winter Park Memorial Hospital has continuously served the residents of Winter Park and its surrounding communities for more than 50 years
• Chartered in 1951, the hospital has grown from the visionary efforts of a handful of Winter Park residents and community leaders, to a 307-bed acute care facility that is a model of community health and wellness
• Over the years the hospital has continually expanded to meet the needs of the community, adding an upscale obstetrics and Level II Neonatal Intensive Care Unit at The Dr. P. Phillips Baby Place, cancer care at the AdventHealth Cancer Institute, Winter Park, and state-of-the-art surgery, recovery and rehabilitation at the AdventHealth Orthopedic Institute

The role you'll contribute: The Care Management Assistant (CMA) is responsible for implementing patient discharge plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations are secured and documented as a support function for Care Management and Care Coordination staff.   Interacts with representatives from insurance companies, managed care organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies as required.  Responsible for assisting in coordinating care and services for assigned patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family.  The CMA establishes a general working knowledge of payer-specific documentation and authorization requirements, and regulatory requirements regarding the clinical review process, provision of services, and post discharge services. Ensures discharge arrangements are in compliance with payer requirements, and regulatory guidelines.   Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you'll bring to the team:

• Demonstrates, through behavior, AdventHealth's core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork

• Implements patient discharge plans prepared by RN Care Manager and/or Social Worker team members.

• Assists Care Managers by performing a variety of tasks as required.  These may include but are not limited to:

• Checking for nursing home, rehab, adult foster care and other facility vacancies/placement

• Photocopying and faxing appropriate information to above facilities to help facilitate placement as requested by RN Care Managers and/or Social Workers

• Makes referrals for community agencies

• Makes home care referrals, ensuring forms are completed correctly and compliantly

• Explores availability and updating of community resources

• Assists patients and/or their families/caregivers with concrete needs such as transportation, emergency medications, medical equipment, etc.

• Assists patients post discharge who have questions related to discharge plan implementation

• Contacts third-party payers to obtain and/or confirm authorization for services and communicates necessary related clinical information, when required.

• Assists Care Manager/Care Coordination department in collecting data related to patient-care outcomes and auditing data for accuracy.

The expertise and experiences you'll need to succeed:

• Ability to communicate effectively with diverse populations
• Interpersonal skills that promote teamwork
• Critical thinking and problem-solving skills
• Knowledge of and ability to utilize internal and external resources
• Flexibility in prioritization and effective organizational skills
• Ability to multitask and function in a stressful, fast-paced environment
• Professional presentation and decorum aligned with environment in which they are situated
• Excellent customer service and verbal and written communication skills
• Knowledge of medical terminology
• Knowledge of Microsoft Office (Word, Excel and Power Point)

• Recent hospital experience
• Associate degree in a healthcare-related field