Full Time
Day Shift
The Case Management Assistant provides administrative and operational support to the Director of Case Management and Nurse Case Managers to ensure the department functions in a highly organized productive efficient and quality-driven manner. This role is essential in supporting daily workflow documentation communication and compliance activities within the Case Management Department.
Demonstrates commitment to the Community Cares Program and consistently applies the AIDET communication model.
Upholds organizational Standards of Behavior including professionalism communication privacy safety awareness responsiveness and service recovery.
Complies with organizational departmental and regulatory policies and standards.
Participates in staff meetings training and educational activities.
Assists with daily assignments for Case Managers.
Retrieves insurance calls from voicemail records and forwards to the appropriate Case Manager (minimum every 2 hours).
Works daily on unbilled reports.
Performs HSI census daily.
Enters discharged cases into QRM including discharge disposition date referrals and related data.
Files worksheets alphabetically and by date.
Enters avoidable days and Physician Advisor referrals into QRM.
Faxes referral information as directed.
Creates on-call schedules for Case Managers and distributes rosters.
Processes HSI requests for retro records and forwards to HIM.
Obtains and forwards medical records for appeals to HER.
Monitors mail for RAC correspondence and alerts Director immediately.
Maintains referral files and VistaNet referral information.
Performs periodic purging of paper files and sets up new files.
Answers ASCOM phones when Case Managers are unavailable.
Takes minutes and assists with agenda preparation for UR Committee meetings.
Logs Opportunity Letters.
Orders departmental supplies.
Provides additional support to Risk Management as needed.
Performs additional duties to support departmental efficiency and organization.
None
Internal: Regular interaction with all levels of hospital staff
External: None
Primarily sedentary work with occasional walking standing bending squatting kneeling twisting and lifting/carrying up to 50 lbs.
Must be able to see with corrective eyewear and hear with assistance if needed.
May be exposed to infectious or contagious diseases.
May have contact with patients under various circumstances.
Must be able to handle emergency or crisis situations.
May be required to work irregular hours and wear protective equipment.
Bloodborne Pathogen Exposure: No daily exposure; periodic exposure possible.
Education:
High School Diploma required
Associates Degree preferred
Experience:
Minimum of 2 years of office secretary or customer service experience
Prior healthcare experience preferred
Skills & Abilities:
Strong organizational and prioritization skills
Excellent communication and interpersonal skills
Analytical and problem-solving abilities
Ability to multitask in a fast-paced environment
Proficient in basic computer applications and data entry
All age groups (Neonatal Pediatric Adolescent Adult Geriatric)
Not required
Required Experience:
IC
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