Integrated Care Management Assistant Case Management

Karmanos Cancer Institute; Mount Clemens (MI); On-site; USD 40,000 - 50,000; Full time

Job summary

Karmanos Cancer Institute seeks an Integrated Care Management Assistant to support RN and SW Care Managers in coordinating discharge plans. This full-time role involves assisting with clerical functions, managing patient transition services, and engaging with community resources to enhance patient care. Ideal candidates will have clerical experience and familiarity with medical terminology.

Qualifications

• Two years of clerical experience required.
• One-year experience in a healthcare environment or college course in medical terminology.
• Preferred: Basic Life Support (BLS) certification.

Responsibilities

• Facilitates discharge planning to ensure successful transitions.
• Coordinates referrals and placements post-discharge.
• Performs general clerical duties and tracks bed availability.

Skills

Clerical experience

Medical terminology

Professional tact and diplomacy

Education

High School Diploma

Associate degree in healthcare-related field (preferred)

Job description

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

Integrated Care Management Assistant Case Management

Position Summary: Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing clerical functions to ensure the efficient operation of the ICM department.

Essential Functions and Responsibilities as Assigned:

1. Assists with facilitating discharge planning to expedite a successful transition of care.

2. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.

3. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.

4. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.

5. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.

6. Communicates pertinent documentation to nursing and homecare facilities to expedite patient discharges for assigned patients.

7. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.

8. Attends meetings and prepares agendas and minutes.

9. Handles incoming and outgoing office correspondence; answers and directs department phone calls as needed.

10. Performs general office duties including faxing, copying, scanning and filing. Orders department supplies.

11. Tracks and communicates bed availability at area extended care and rehab facilities.

12. Communicates with internal and external customers to answer questions.

13. Troubleshoots problems that arise with office equipment. Notifies leadership of unresolved issues.

14. Performs other related duties as required and directed.

Required

· High School Diploma

· Two years of clerical experience

· One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology

Preferred:

· Associate degree in healthcare-related field

· Two years of case management or utilization review experience

· Three years of recent experience doing third party payer certification

· Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
We are committed to encouraging and sustaining a work environment free of unlawful harassment, discrimination, and/or retaliation. We are an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s race, color, age, religion, sex/pregnancy (including pregnancy/childbirth or pregnancy/childbirth-related conditions), sexual orientation, gender identity, national origin, disability, veteran status, genetic information, or any other status prohibited by applicable laws. We also make good faith efforts to recruit, hire, and promote qualified women, minorities, individuals with disabilities, and veterans.

Additional Information

• Schedule: Full-time
• Requisition ID: 25002812
• Daily Work Times: 8a-430p
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.