Assistant, Hospital Care Management
Assistant, Hospital Care Management
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Job Description
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Being the heartbeat of Denver means our heart reflects something bigger than ourselves something that connects us all:
Humanity in action Triumph in hardship Transformation in health.
Department
Hospital Care MgmtJob SummaryUnder general supervision the Care Management (CMA) position will support the Care Management Department in providing paraprofessional support for discharge planning. In the discharge planning process the CMA will communicate with and coordinate post discharge services as directed collaboratively by the Care Management Nurse Care Coordinators and the Clinical Social Workers. Additionally the CMA will perform general office administrative duties as required and cover for the URRN CMA in their absence.
Essential Functions:
- Manages appropriate transitions of care for patients regardless of payor from ED (Emergency Department) PAV C and inpatient via collaboratively coordinating with Nurse Care Coordinators (RNCC) and Clinical Social Worker (CSW) using a customer service framework to facilitate timely discharges through communication and referrals to post discharge providers including home health home and inpatient hospice long term acute care facilities skilled nursing facilities assisted living facilities transportation and any other type of post discharge provider of services (20%)
- Serves as a contact for external providers and conducts follow-up phone calls as needed to confirm referral receipt and obtain disposition (approval or rejection) regarding post discharge referrals and maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. (20%)
- Conducts research to identify providers for specific services as needed by the RNCC and SW for the purpose of reviewing the organizations to determine their partnership with insurance companies to identify cultural specialties and limitations and to meet the unique discharge needs of each patient. (15%)
- Follows the organizations release of information policies and procedures and identified communication system (Epic fax fax email US mail etc.) to electronically send the pertinent information for each referral type as directed. (20%)
- Schedules follow-up appointment as requested to support post-discharge follow-care including physician office visits wound care clinic visits infusion center services etc. (15%)
- Other clerical duties & interim support or coverage for DME coordination Interim support or coverage for DME coordination (10%)
Education:
- Bachelors Degree social science or health care field Required or
- High School Diploma or GED Required and
- Four years in experience in healthcare related fields such as hospital home health provider insurance utilization review department doctors office case management DME company etc. Required
Work Experience:
- 1-3 years Experience in healthcare related fields such as hospital home health provider insurance utilization review department doctors office case management DME company etc. Required
Licenses:
Knowledge Skills and Abilities:
- Knowledge and expertise in developing and using data management tools such as Microsoft Epic and experience with office machines (ie- copier fax telephone) computers software (ie- word processing spreadsheet etc.).
- Expertise and knowledge of third-party payor requirements and regulations including Medicare/Medicaid managed care payors commercial insurance companies workers comp etc.
- Ability to work within strict time limits when responding to verbal and written requests for review.
- Must be flexible and well organized and able to prioritize.
- Sound knowledge of medical terminology.
- Skilled in establishing and maintaining cooperative and team oriented working relationships with others.
- Highly effective communication skills both verbal and written.
- Strong organization time management and follow-through skills.
- Solid problem solving and decision-making skills. Demonstrates flexibility and assertiveness.
Shift
Days (United States of America)Work Type
RegularSalary
$22.29 - $31.21 / hrBenefits
Outstanding benefits including up to 27 paid days off per year immediate retirement plan employer contribution up to 9.5% and generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands travel and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
Our Values
Respect
Belonging
Accountability
Transparency
All job applicants for safety-sensitive positions must pass a pre-employment drug test once a conditional offer of employment has been made.
Denver Health is an integrated high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center a 555-bed acute care medical center Denvers 911 emergency medical response system 10 family health centers 19 school-based health centers Rocky Mountain Poison & Drug Safety a Public Health Institute an HMO and The Denver Health Foundation.
As Colorados primary and essential safety-net institution Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community focusing on hiring and purchasing locally as applicable serving as a pillar for community needs and caring for more than 185000 individuals and 67000 children a year.
Located near downtown Denver Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas talents and contributions reflective of the needs of our community.
Applicants will be considered until the position is filled.
Employment Type
Full-Time
