Case Management Assistant-Case Management Social Services

Eisenhower Health; Rancho Mirage (CA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Generous benefits package

Matched retirement plan

Benefits program

Job summary

Eisenhower Health in Rancho Mirage, CA, seeks a discharge coordination specialist to support patient transitions from hospital to post-acute care. You will facilitate referrals, obtain insurance authorizations, and help complete discharge paperwork.

You will collaborate with Case Managers, Social Workers and Nurse Navigators to arrange transfers, conduct Medi-Cal bed searches, prepare patient packets, and communicate clearly with families to prevent delays and readmissions.

Qualifications

• Self-starter with proactive approach to discharge coordination.
• Strong written and verbal communication skills.
• Problem solving to resolve discharge barriers.
• Ability to work with multidisciplinary teams.

Responsibilities

• Demonstrates compliance with Code of Conduct and policies, reporting violations.
• Assists in faxing discharge referrals to outside facilities.
• Obtains insurance information and authorizations before discharge.
• Ensures completion of post-discharge paperwork and forwards to providers.
• Coordinates transfers and informs Case Manager or Nurse Navigator.
• Performs Medi-Cal bed searches and updates the medical record.
• Communicates bed search results and barriers to the team.
• Assembles patient packets and copies medical records as needed.
• Maintains current payer knowledge and documents discharge plans.

Skills

Self-starter

Written communication

Verbal communication

Problem solving

Tools

Microsoft Office Suite

Job description

Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.

• Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.
• 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).
• Assists in facilitating acquisition of appropriate insurance information and authorization prior to discharge.
• Assists in ensuring completion of all necessary post discharge paperwork and sends to provider as directed.
• 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.
• 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.
• 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.
• Assists in preparing patient packets when needed, i.e., by copying medical records, printing reports from computer, collating required information and preparing transfer envelope.
• Communicates with leadership when issues or needs for process changes are identified.
• Maintains community resource list.
• Assists in the distribution of Medicare IMM letters and in obtaining signatures, if applicable.
• 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.
• Assists in making PCP post discharge appointments of high risk patients as needed to prevent readmissions.
• Assists in taking-off and communicating voice mail messages.
• Asks for help when necessary and willingly assists co-workers when necessary to promote efficiency and to provide quality service.
• Determines priority in workload; completes a typical day’s assigned workload within the scheduled shift.
• Maintains current knowledge and awareness of payer reimbursement practices and regulations impacting the patients plan for care and discharge plan.
• Performs other duties as assigned.
• Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications
• Self-starter; driven to take action without needing prompting
• Written and verbal communication skills
• Ability to effectively communicate in a positive and professional manner
• Knowledge of payer types including Medicare, SR HMO , Medi-Cal and Private Payers
• Problem solving skills to identify issues and formulate effective solutions

Eisenhower Health offers a generous benefits package and a matched retirement plan.

Employees are eligible to participate in a benefits program designed to make a difference for you and your family.

From the beginning, this organization formed a culture based on strong values, commitments and a passion for service and professional excellence.

What Our Nurses Say

One of my very favorite things about working at Eisenhower Health is the culture on inclusivity that we have and a strong base for evidence-based practice.

Lori

One of the greatest things about working as a nurse at Eisenhower Health is how much support you get from Administration. We keep on improving the process here. It's a fantastic place to work.

My favorite thing about working at Eisenhower Health is the camaraderie within my unit and with the different departments.