Job Summary
The Case Management Assistant provides administrative and operational support to the Director of Case Management and Nurse Case Managers to ensure the department functions in a highly organized, productive, efficient, and quality-driven manner. This role is essential in supporting daily workflow, documentation, communication, and compliance activities within the Case Management Department.
Essential Duties And Responsibilities
- Demonstrates commitment to the Community Cares Program and consistently applies the AIDET communication model.
- Upholds organizational Standards of Behavior including professionalism, communication, privacy, safety awareness, responsiveness, and service recovery.
- Complies with organizational, departmental, and regulatory policies and standards.
- Participates in staff meetings, training, and educational activities.
- Assists with daily assignments for Case Managers.
- Retrieves insurance calls from voicemail, records, and forwards to the appropriate Case Manager (minimum every 2 hours).
- Works daily on unbilled reports.
- Performs HSI census daily.
- Enters discharged cases into QRM, including discharge disposition, date, referrals, and related data.
- Files worksheets alphabetically and by date.
- Enters avoidable days and Physician Advisor referrals into QRM.
- Faxes referral information as directed.
- Creates on-call schedules for Case Managers and distributes rosters.
- Processes HSI requests for retro records and forwards to HIM.
- Obtains and forwards medical records for appeals to HER.
- Monitors mail for RAC correspondence and alerts Director immediately.
- Maintains referral files and VistaNet referral information.
- Performs periodic purging of paper files and sets up new files.
- Answers ASCOM phones when Case Managers are unavailable.
- Takes minutes and assists with agenda preparation for UR Committee meetings.
- Logs Opportunity Letters.
- Orders departmental supplies.
- Provides additional support to Risk Management as needed.
- Performs additional duties to support departmental efficiency and organization.
Supervision Exercised
None
Internal & External Interactions
Internal: Regular interaction with all levels of hospital staff. External: None.
Working Conditions & Physical Requirements
- Primarily sedentary work with occasional walking, standing, bending, squatting, kneeling, twisting, and lifting/carrying up to 50 lbs.
- Must be able to see with corrective eyewear and hear with assistance if needed.
- May be exposed to infectious or contagious diseases.
- May have contact with patients under various circumstances.
- Must be able to handle emergency or crisis situations.
- May be required to work irregular hours and wear protective equipment.
- Bloodborne Pathogen Exposure: No daily exposure; periodic exposure possible.
Minimum Qualifications
Education
- High School Diploma required.
- Associate's Degree preferred.
Experience
- Minimum of 2 years of office secretary or customer service experience.
- Prior healthcare experience preferred.
Skills & Abilities
- Strong organizational and prioritization skills.
- Excellent communication and interpersonal skills.
- Analytical and problem-solving abilities.
- Ability to multitask in a fast-paced environment.
- Proficient in basic computer applications and data entry.
Patient/Customer Population Served
- All age groups (Neonatal, Pediatric, Adolescent, Adult, Geriatric).
Certification/Licensure
Salary: $19 - $21 per hour