Case Management Assistant, On Call, Variable Shifts

Jackson Health System; Miami (FL); On-site; USD 38,000 - 54,000; Full time

Job summary

Jackson Health System is seeking a Case Management Assistant to support the Clinical Resource Management Department in collecting quality and utilization data for daily operations.

You will facilitate CMS forms and help coordinate referrals to primary care and specialty clinics, while maintaining patient confidentiality and high service standards across the system.

Qualifications

• Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with critical thinking and professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in use of job appropriate technology and software applications.

Responsibilities

• Provides the Centers for Medicare & Medicaid Services CMS forms (MOONS, IMs) to patients in a safe, timely, and effective manner.
• Verifies and assures that documentation entered within the patients' medical records are entered accurately and kept confidential.
• Responds and verifies inquiries from CRM leadership team and/or responsible parties. Interacts with patients to keep track of their progress and to ensure satisfaction.
• Adhere to professional standards as outlined by protocols, rules and regulations. Develops effective working relationships with CRM team.
• Facilitates multiple care aspects as requested by CRM leadership team for DC planning (case coordination, information sharing, etc.).
• Under direction of CRM leadership, assist with the daily referrals, per standard protocols, to Primary Care Physician and JHS specialty clinics, scheduling diagnostic studies and other clinics appointment and procedures. Coordinates with outpatient studies as needed.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs all other related job duties as assigned.
• The incumbent may attend management meetings and may be involved directly or indirectly around confidential management decisions

Skills

Analytical skills

Communication

Stress management

Instruction following

Judgment & independence

Tech proficiency

Education

High school diploma

Job description

Jackson Health System

Department: Jackson Memorial Hospital - JM Case Management Acute

Address: 1611 NW 12th Ave, Miami, Florida, 33136

Shift details: On Call, Variable Shifts

Why Jackson

Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.

Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

Summary

The Case Management assistant provides daily support to the Clinical resource Management Department in the process of quality and utilization data necessary for the day-to-day operations of the dept. Facilitates appropriate follow up in administering The Centers for Medicare & Medicaid Services forms (Medicare outpatient Observation notices and Important Message forms to enhance the quality of the services being provided to our patients across the system.

Responsibilities

• Provides the Centers for Medicare & Medicaid Services CMS forms (MOONS, IMs) to patients in a safe, timely, and effective manner.
• Verifies and assures that documentation entered within the patients' medical records are entered accurately and kept confidential.
• Responds and verifies inquiries from CRM leadership team and/or responsible parties. Interacts with patients to keep track of their progress and to ensure satisfaction.
• Adhere to professional standards as outlined by protocols, rules and regulations. Develops effective working relationships with CRM team.
• Facilitates multiple care aspects as requested by CRM leadership team for DC planning (case coordination, information sharing, etc.).
• Under direction of CRM leadership, assist with the daily referrals, per standard protocols, to Primary Care Physician and JHS specialty clinics, scheduling diagnostic studies and other clinics appointment and procedures. Coordinates with outpatient studies as needed.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performs all other related job duties as assigned.
• The incumbent may attend management meetings and may be involved directly or indirectly around confidential management decisions

Experience

Generally, requires 1 to 3 years of related experience.

Education

High school diploma is required.

Skill

Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with critical thinking and professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications.

Credentials

Valid license or certification is required as needed, based on the job or specialty.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.