CASE MANAGEMENT ASSISTANT

Position Summary Under the supervision of department Director or designee, assist in providing case management services; assist in some aspects of the admissions and discharge process to facilitate smooth and timely admission and discharge and appropriate referral to available resources. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include neonate, pediatric, adolescent, adult and geriatric age groups.

Detailed Responsibilities ARRANGEMENTS - Arrange meals, lodging and transportation for families as requested

COORDINATION - Assist in coordinating medical equipment and supplies for home use, communicating with appropriate members of treatment team, family and patient as directed

COORDINATION - Assist in making arrangements for home health services as directed

COMMUNICATION - Communicate plans for equipment, transportation, referrals, etc., as appropriate, to members of the treatment team; perform follow-up communication with patients or appropriate designee as needed

COMMUNICATION - Communicate with appropriate staff, patients or designees and outside agencies regarding any necessary financial information, as directed

TRANSFER - Assist with coordinating transfer of patients to appropriate settings, i.e., acute care, psychiatric inpatient, skilled nursing facility, or other destinations

CONFERENCES - Coordinate patient care conferences, as requested

COMMUNICATION - Participate in patient care team meetings to review follow-up actions and patient discharge planning

CORRESPONDENCE - Formulate, copy, fax and distribute correspondence and medical records, as directed

DATA - Collect and enter required data; prepare reports as directed

INQUIRIES - Answer phones, obtain appropriate information, respond to requests and transfer calls; retrieve messages, take information and route, as appropriate

PATIENT ASSISTANCE - Assist patient or designee in completing patient assistance forms/documentation, and maintain records

PRIOR AUTHORIZATION - Verify coverage eligibility on patients for outside services as needed

FINANCIAL ASSISTANCE - Coordinate and obtain missing information related to denials due to the lack of notification authorization

RECORDS - Establish, maintain, process, and update files, records, and/or other documents

REFERRALS - Maintain resources and reference materials; direct referrals to community agencies, as needed

DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops

PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols

PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes

PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk

PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner

PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don\'t understand or may "not seem right"

Qualifications Education

Essential

High School or GED Equivalent

Nonessential

Associate Degree

Bachelor\'s Degree

Education specialization

Related Discipline

Related Discipline

Experience

Essential

Nonessential

No minimum experience required

Medical terminology knowledge

Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo

Bilingual English/Vietnamese

Case management experience

Utilization management experience

2 years directly related experience

Credentials Essential

Not Applicable/Not Required

CPR for Healthcare/BLS Provider or Professional Rescuers within 30 days

Physical Conditions Light Work : Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Physical demand requirements are in excess of those for sedentary work. May require walking or standing to a significant degree or requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or may require working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of materials is negligible.

Working conditions

Minor Hazard - physical risks, dirt, dust, fumes, noise

Tuberculosis testing is completed upon hire and additionally as required

Seniority level Entry level

Employment type Part-time

Job function Other

Industries

Hospitals and Health Care

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