Case Management Assistant

Eisenhower Medical Center; United States; On-site; USD 27,000 - 41,000; Full time

Job summary

Eisenhower Health in the United States is seeking a Clerical Support Specialist for the Case Management and Social Services department to maintain efficient discharge planning and department operations.

The role requires a high school diploma or higher, healthcare experience, and strong communication skills; you will interact with Case Managers, Social Workers and other staff, using MS Office to manage records.

Qualifications

• Education: High school diploma or GED required; associate degree preferred.
• Experience: 2+ years in healthcare setting required; front/back office or patient financial services preferred.
• Skills: strong communication, Microsoft Office, and understanding payer types (Medicare, SR HMO, Medi-Cal, private pay).

Responsibilities

• Complies with conduct and policies and reports concerns.
• Assist in referring and faxing discharge referrals to outside facilities.
• Help collect insurance information and authorization before discharge.
• Ensure completion of post-discharge paperwork and forward to provider.
• Confirm transfer times and arrange transportation; communicate to care team.
• Make calls/faxes for bed searches; document in medical record.
• Share bed search results with care team; identify barriers to acceptance.
• Prepare patient packets (copy records, print reports, collate info).
• Flag issues to leadership and suggest process improvements.
• Maintain community resource list.
• Distribute Medicare IMM letters and obtain signatures if applicable.
• Assist with Medicare appeals by gathering info and following up.
• Help arrange PCP post-discharge appointments for high-risk patients.
• Handle voicemail messages and communication workflows.
• Seek help when needed and support coworkers for efficiency.
• Prioritize workload and complete daily tasks within shift.
• Stay updated on payer reimbursement rules affecting discharge plans.
• Perform other duties as assigned.

Skills

Communication

Microsoft Office

Payer types

Problem solving

Self-starter

Written communication

Verbal communication

Education

High school diploma, GED or higher level degree

Associate's degree

Job description

Default Work Shift: Day (United States of America) Hours: 40

Salary range: $19.72 - $29.95

Schedule: Full Time

Department: Case Management Social Services

Job Objective

Provides clerical support to Case Managers, Social Workers and other members of the department in order to maintain efficient discharge planning processes and department operations.

Job Description

• Education: Required: High school diploma, GED or higher level degree Preferred: Associate's degree
• Licensure/Certification: Preferred: Medical Assistant, Certified Nursing Assistant, Medical Terminology or other health related certification
• Experience: Required: Two (2) years of experience working in healthcare Preferred: Experience as a Front/back office assistant or in Patient Financial Services
• Reports To: Manager
• Supervises: N/A
• Ages of Patients: N/A
• Blood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities: Ability to effectively communicate in a positive and professional manner, Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications, Knowledge of payer types including Medicare, SR HMO , Medi-Cal and Private Payers, Problem solving skills to identify issues and formulate effective solutions, Self-starter; driven to take action without needing prompting, Written and verbal communication skills

Essential Responsibilities

1. 1. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.
2. 2. Assists in referring and faxing of discharge referrals to outside agencies (skilled nursing, sub-acute and acute care facilities, transitional care, rehab services, home health agencies, DME companies and other providers).
3. 3. Assists in facilitating acquisition of appropriate insurance information and authorization prior to discharge.
4. 4. Assists in ensuring completion of all necessary post discharge paperwork and sends to provider as directed.
5. 5. Confirms agency/facility acceptance and time of transfer; makes transportation arrangements as directed; routinely and timely communicates this information via email and/or verbally to appropriate Case Manager, Social Worker or Nurse Navigator.
6. 6. Performs phone calls and faxes information to complete Medi-Cal 10-bed call list and other bed searches; documents bed search information in medical record.
7. 7. Communicates results of Medi-Cal 10-bed search and other bed searches to appropriate Case Manager, Social Worker or Nurse Navigator; informs them of barriers to acceptance and potential accepting facilities in order for them to communicate to patient/family and facility as needed.
8. 8. Assists in preparing patient packets when needed, i.e., by copying medical records, printing reports from computer, collating required information and preparing transfer envelope.
9. 9. Communicates with leadership when issues or needs for process changes are identified.
10. 10. Maintains community resource list.
11. 11. Assists in the distribution of Medicare IMM letters and in obtaining signatures, if applicable.
12. 12. Assists with Medicare appeals by gathering all information, faxing to the QIO, confirming that information was received, completing log, following up on outcome and communicating with appropriate team, if applicable.
13. 13. Assists in making PCP post discharge appointments of high risk patients as needed to prevent readmissions.
14. 14. Assists in taking-off and communicating voice mail messages.
15. 15. Asks for help when necessary and willingly assists co-workers when necessary to promote efficiency and to provide quality service.
16. 16. Determines priority in workload; completes a typical day’s assigned workload within the scheduled shift.
17. 17. Maintains current knowledge and awareness of payer reimbursement practices and regulations impacting the patients plan for care and discharge plan.
18. 18. Performs other duties as assigned.

Welcome to Eisenhower Health Careers! Eisenhower has been a leader in health care for the Coachella Valley since we opened our medical center in 1971. Since then, we’ve been growing steadily, adding services, capabilities and facilities to anticipate and meet the needs of our expanding area. Today, the Eisenhower name extends far beyond the state-of-the-art care we deliver at the hospital.