Case Management Assistant- Utilization Management

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

SUMMARY:

We are currently seeking a Case Management Assistant to join our Utilization Management team. This position works on campus, part-time, hours per 2-week pay period), 8:00 am - 4:30 pm, and every other weekend.

Purpose of this position: Under general supervision, coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of department goals. Assist in discharge planning to facilitate the delivery of cost-effective healthcare and assists in the identification of appropriate utilization of resources.

Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in

quality improvement and evaluation processes related to the management of patient care.

RESPONSIBILITIES:

• Completes tasks as assigned by Clinical Coordinator or Social Worker]
• Makes referrals for post-acute services under the direction of the Clinical Coordinator or Social Worker
  
  team members utilizing the electronic Case Management system
• Verifies patient demographic data
• Provides patients and families with list of choices of post-acute providers per policy
• Responds to post-acute providers timely and completes referrals per policy
• Documents and communicates all elements of the post-acute referral to the Clinical Coordinator or Social Worker and the healthcare team, patient/family, and post-acute providers
• Makes copies, sends faxes, and completes phone calls to arrange discharge to post-acute services and to ensure that appropriate hospital information is communicated to post-acute providers
• Documents all referrals and tasks in the electronic health record
• Provides patients and healthcare team information regarding resources and benefits available to the
  
  patient along with the economic impact of care options
• Assists with obtaining necessary supplies and/or medical equipment for patient discharge
• Arranges transport and obtain authorization as necessary
• Arranges follow-up appointments
• Completes Pre-Admission Screening (PAS) form for nursing facilities as directed
• Accesses electronic systems, such as MNIT-S to determine patient eligibility information
• Delivers Important Message from Medicare (IMM) or Administer first IMM within two days of admission and second IMM within two days of discharge (if not done by Patient Access)
• Documents second IMM was administered in designated area in EMR. Ensure copy of signed second IMM is in the medical record
• Assist UR nurse with clerical support (faxing, follow-up calls) for payor reviews or authorizations
• Follows organizational policies and procedures and standard work to complete job functions
• Establishes and maintains effective communication with all referral sources
• Performs other duties as assigned

QUALIFICATIONS:

Minimum Qualifications:

• High school diploma

-OR-

• An approved equivalent combination of education and experience

Preferred Qualifications:

• 2-year degree in Accounting, Business, Healthcare Administration, Health & Human Services or related field
• 2 years of healthcare experience
• Experience with medical terminology and electronic health record systems
• Paramedic, EMT or Nursing Assistant certification preferred

Knowledge/ Skills/ Abilities:

• Demonstrated skills in the areas of communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking
• Excellent verbal and written communication skills required
• Demonstrates flexibility via an ability to adapt to changing priorities and regulations
• Epic
• MS Office

You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

Total Rewards Package:

• We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
• We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
• For a complete list of our benefits, please visit our career site on why you should work for us.

Primary Location: MN-Minneapolis-Downtown Campus

Standard Hours/FTE Status: FTE = hours per pay period)

Shift Detail: Day, Every Other Weekend

Job Level: Staff

Employee Status: Regular

Eligible for Benefits: Yes

Union/Non Union: Union

Min: $24.41

Max: $32.00

Job Posting: Nov