Case Management Assistant
- Pavilion 1, BC, Canada
Full-time
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Job details
- Job type
- Full-time
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- Posting language
- English
- Posted
Original job description
Position Title
Case Management Assistant
Olathe Medical Pavilion A
Position Summary / Career Interest
The Case Management Assistant works under the direction of the Social Work Manager in Case Management, the Case Management Assistant (CMA) has responsibility to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. The CMA provides support in the operation and communications of the department for the point of entry and inpatient settings. The primary role for the CMA is to collaborate, communicate, and facilitate coordination of services as established by the healthcare team and directed by the Case Manager and Social Worker .
Responsibilities And Essential Job Functions
Full time
Job Requisition ID
R-57857
Important Information For You To Know As You Apply
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Case Management Assistant
Olathe Medical Pavilion A
Position Summary / Career Interest
The Case Management Assistant works under the direction of the Social Work Manager in Case Management, the Case Management Assistant (CMA) has responsibility to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. The CMA provides support in the operation and communications of the department for the point of entry and inpatient settings. The primary role for the CMA is to collaborate, communicate, and facilitate coordination of services as established by the healthcare team and directed by the Case Manager and Social Worker .
Responsibilities And Essential Job Functions
- Maintain patient, employee, physician and corporate confidentiality; respect the rights, privacy and property of others.
- Communicates timely, relevant and accurate information to the Case Managers and professionals involved with patient’s care; maintains routine communication with case managers on the status of their referral requests; communicate Social Work and Case Management referrals to the assigned staff and notifies the department director/manager when staff is unable to facilitate the referral
- Receives, screens and routes telephone calls and written communications to appropriate staff; returns calls and communicates messages as needed; informs staff members of correspondence requiring immediate attention/action.
- Communicates with payers for verification of benefits on specific patients at the case manager’s request; alerts appropriate staff to adverse determination responses from insurance companies.
- Faxes surgery procedure updates to the Business office staff for Medicaid reimbursement coordination and communication.
- Receives and records new/changed contact information for the sitter’s list.
- Routes contact information from Home Health agencies to appropriate staff to facilitate continuity of care.
- Facilitates the progression of care by obtaining all necessary forms to initiate referrals for the transition of care; distributes post-acute placement requests as directed by the RN, CM and SW; monitors the patient’s progression towards the desired outcome; facilitates certain aspects of the discharge planning, resource referral and patient education
- Participates in RN, CM and SW team planning meetings; integrates the work of the healthcare team by coordinating resources and services requested by the team to assist in accomplishing agreed-upon goals and desired discharge plan. Continuously monitors the patient through frequent interactions with the inpatient team starting at admission through discharge to assist in timely referrals and coordination of post-acute needs
- Ensures data integrity by running reports to validate all data is correctly entered into hospital system
- Demonstrates ability to balance cost and quality to assure optimal clinical and financial outcomes
- Files and maintains insurance communication documents and communication/tracking logs.
- Maintains social work and case management forms and restocks forms as needed
- Completes special projects and/or assignments required to support staff/department operations
- Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
- These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.
- High School Graduate
- 3 or more years broad administrative/secretarial experience
- Associates Degree
- Bachelors Degree
- Healthcare background
- Some knowledge of contractual reimbursement methodology
- Some knowledge of community agencies/resources
- Must have excellent verbal and written communication skills.
- Strong customer service skills
- Capable of working with multiple tasks simultaneously
- Organizational skills and confidentiality
- MS Office program experience
Full time
Job Requisition ID
R-57857
Important Information For You To Know As You Apply
- The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
- The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
- Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.
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More about this job
Responsibilities
Supports case managers and social workers by coordinating referrals, communicating with patients and care teams, and helping arrange post-acute services and discharge plans. Maintains department records and forms, verifies insurance benefits when requested, monitors care progression, and supports accurate data entry and department operations.
Requirements
Requires a high school diploma and at least three years of broad administrative or secretarial experience. Preferred qualifications include an associate or bachelor's degree and a healthcare background; candidates should have strong communication, customer service, organizational, confidentiality, multitasking, and Microsoft Office skills.
Skills
- Care Coordination
- Case Management Support
- Referral Coordination
- Discharge Planning
- Patient Communication
- Insurance Benefits Verification
- Data Integrity
- Administrative Support
- Confidentiality
- Customer Service
- Written Communication
- Verbal Communication
- Organization
- Multitasking
- Microsoft Office
Visa sponsorship
Not detected in the job text
Categories
- Healthcare
- Administrative
- Social Services
- Customer Service & Support
Keywords
- Case Management
- Social Work
- Care Coordination
- Patient Care
- Referral Coordination
- Discharge Planning
- Post-Acute Care
- Healthcare Team
- Insurance Benefits Verification
- Contractual Reimbursement
- Medicaid Reimbursement
- Community Resources
- Home Health
- Patient Education
- Data Integrity
- Hospital Information System
- Microsoft Office
- Confidentiality
- Administrative Support
- Communication
- Customer Service
- Resource Referral
- Care Progression
- Inpatient Care