Care Manager Assistant - ED Navigation

15500 Saint Joseph Hospital Inc; United States; On-site; USD 28,000 - 39,000; Full time

Job summary

Intermountain Health's Saint Joseph Hospital in Denver seeks a Care Management Assistant to coordinate patient care with nurses and social work teams. You will bridge patients, families, and clinicians, manage referrals, educate on resources, and handle payer notifications while maintaining compliance and accurate records.

This role supports care planning, coordinates appointments, and communicates with physicians and care managers to ensure timely, coordinated services for patients and families

Qualifications

• Demonstrated healthcare experience in a clinic or hospital setting.
• Demonstrated customer service with a focus on communications and problem resolution.
• Proficiency in advanced computer skills.
• Cargivers whose duties require them to conduct home or community visits must maintain current BLS, have a valid driver's license, auto insurance and reliable transportation.

Responsibilities

• Serves as a liaison between the department and external organizations or individuals, including payers, physicians, post-acute agencies, patients, patient representatives, and other departmental stakeholders.
• Receives and prioritizes requests and transmits clinical information for service authorizations in accordance with contractual requirements and communicates with care managers, utilization review RNs, revenue cycle, and payers as needed to coordinate processes and research payment sources.
• Monitors the status of referrals and maintains ongoing communication.
• Requests and retrieves medical records from Health Information Management for retrospective utilization review or quality assurance.
• Delivers routine regulatory notices to patients within the required timeframes, ensuring proper documentation to support the delivery of government-mandated forms or payer communication.
• Performs clerical tasks to support care management services, including preparing and printing reports, scheduling appointments, distributing and communicating requests, retrieving messages, and scanning or copying documents as needed.
• Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
• Supports a compliant patient choice process by ensuring provider lists are current across all systems, distributing them to patients and families prior to the patient choice consultation.
• Aids in transition planning by preparing transfer packets, arranging transportation, updating resources on the Integrated Care Management website, and coordinating with patients, families, and next-level providers.
• Collaborates with care managers to navigate and refer patients to community resources that address social determinants of health.
• Works closely with care managers and clinical teams to ensure patients receive comprehensive and coordinated care.

Skills

Referral Management

Patient Advocacy

Care Coordination

Communication

Prioritization

Compliance

Documentation

Organization

Problem Solving

Community Resource Navigation

EMR Documentation

Education

Associate or Bachelor's degree

Job description

The Care Management Assistant is a patient-focused role that manages and optimizes patient care in collaboration with nurses and social work care managers, often serving as a bridge between patients, their support people, and the healthcare team. Their responsibilities encompass a range of tasks, including coordinating appointments, facilitating communication with physicians and families, educating patients about available resources, and educating patients and families while delivering regulatory or payer notifications.

3 x 12 hour shifts, 10 AM - 10:30 PM Weekdays and weekends.

Location

Saint Joseph Hospital, Denver, Colorado

Essential Functions

• Serves as a liaison between the department and external organizations or individuals, including payers, physicians, post-acute agencies, patients, patient representatives, and other departmental stakeholders.
• Receives and prioritizes requests and transmits clinical information for service authorizations in accordance with contractual requirements and communicates with care managers, utilization review RNs, revenue cycle, and payers as needed to coordinate processes and research payment sources.
• Monitors the status of referrals and maintains ongoing communication.
• Requests and retrieves medical records from Health Information Management for retrospective utilization review or quality assurance.
• Delivers routine regulatory notices to patients within the required timeframes, ensuring proper documentation to support the delivery of government-mandated forms or payer communication.
• Performs clerical tasks to support care management services, including preparing and printing reports, scheduling appointments, distributing and communicating requests, retrieving message (phone, fax, email, and mail), and scanning or copying documents as needed.
• Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
• Supports a compliant patient choice process by ensuring provider lists are current across all systems, distributing them to patients and families as instructed, prior to the patient choice consultation conducted by the care manager or social worker.
• Aids in transition planning by preparing transfer packets, arranging transportation, updating resources on the Integrated Care Management website, and coordinating with patients, families, and next-level providers.
• Collaborates with care managers to navigate and refer patients to community resources that address social determinants of health.
• Work closely with care managers and clinical teams to ensure patients receive comprehensive and coordinated care.
• Contribute, in collaboration with Care Management, to the monitoring and success of patient care plans and the resolution of identified social needs.

Skills

• Referral Management
• Patient Advocacy
• Care Coordination
• Communication
• Prioritization
• Compliance
• Documentation
• Organization
• Problem Solving
• Community Resource Navigation
• Electronic Medical Record Documentation

Minimum Qualifications

• Demonstrated healthcare experience in a clinic or hospital setting.
• Demonstrated customer service with a focus on communications and problem resolution.
• Proficiency in advanced computer skills.
• Cargivers whose duties require them to conduct home or community visits must maintain current BLS certification, have a current driver’s license, current auto insurance, an acceptable driving record and reliable transportation.

Preferred Qualifications

• Associate or bachelor’s degree.
• Previous experience with medical terminology.
• Excellent verbal and written communications skills.

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• Mental stamina and flexibility- ability to handle high stress situations, make quick decisions, and manage multiple tasks simultaneously.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $20.07 - $28.59

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

We use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness.

All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail].

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor. All positions subject to close without notice. Thanks for your interest in continuing your career with our team!