Case Management Assistant

Nationwide Children's Hospital; North Carolina; On-site; USD 42,000 - 52,000; Full time

Job summary

Nationwide Children's Hospital in North Carolina is seeking a coordinator to support safe, timely patient discharges and care coordination across multidisciplinary teams. You will schedule inpatient and outpatient tests, procedures, and follow-up appointments, communicate with patients and families, and facilitate access to resources while ensuring payer authorizations and proper documentation.

The role emphasizes data gathering, privacy and safety compliance, and collaboration with

Qualifications

• Associate’s degree or equivalent education and experience required.
• Knowledge of current medical terminology.
• Experience and/or familiarity with payer negotiations and authorization requirements.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced clinical setting and manage multiple tasks.

Responsibilities

• Assists with scheduling of inpatient and outpatient services, tests, procedures, and follow-up appointments.
• Communicates with patients and families about admissions and appointments and connects them with resources.
• Collaborates with multidisciplinary teams to ensure cohesive care planning and discharge processes.
• Obtains required information from patients, caregivers, providers, and external teams.
• Assists with completing documentation such as FMLA forms and payer authorizations for post-discharge care.
• Monitors related metrics and assists with data gathering to support process and patient care improvements.
• Ensures compliance with privacy and safety standards.

Skills

Medical terminology

Payer negotiations & authorizations

Communication & interpersonal skills

Multidisciplinary teamwork

Fast-paced clinical environment

Education

Associate’s degree or equivalent

Tools

Electronic Medical Records

Job description

Overview:

Monday - Friday, 8am - 5pm, onsite 40 hours/week

Full-Time, Benefits Eligible

Job Description Summary:

Supports safe, timely, and efficient patient discharges and care coordination by facilitating communication, scheduling, and collaboration among patients, families, and multidisciplinary care teams.

Job Description:

Essential Functions:

• Assists with the scheduling of various inpatient and outpatient services, including tests, procedures, and follow-up appointments.
• Communicates with patients and families regarding admissions and appointments and connects them with appropriate resources.
• Collaborates with multidisciplinary teams to ensure cohesive care planning and effective communication throughout the discharge process.
• Obtains required information from patients, caregivers, healthcare providers, and other external teams.
• Assists with completing required documentation such as FMLA forms and obtaining payer authorizations for medications, equipment, and services related to post-discharge care.
• Monitors related metrics and assists with data gathering to support process and patient care improvements.
• Ensures compliance with regulatory and organizational privacy and safety standards.

Education Requirement:

Associate’s Degree, or equivalent education and experience, required.

Skills:

• Knowledge of current medical terminology.
• Knowledge of payer negotiations and authorization requirements.
• Excellent communication and interpersonal skills.
• Able to work in a fast-paced clinical environment and manage multiple tasks effectively.
• Demonstrated effectiveness in working with multi-disciplinary teams.

Experience:

• Experience in an inpatient or outpatient clinical setting, preferred.
• Experience with electronic medical records, preferred.

Physical Requirements:

OCCASIONALLY: Chemicals/Medications, Communicable Diseases and/or Pathogens, Decision Making, Loud Noises, Problem solving

FREQUENTLY: Computer skills, Hand use: grasping, gripping, turning, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Repetitive hand/arm use, Sitting, Standing, Walking

CONTINUOUSLY: Audible speech, Hearing acuity, Interpreting Data, Seeing – Far/near

“The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet”