Care Coordination Case Assistant - Inpatient

Customer service

3+ years

Specialized Knowledge and Skills Requirements

Ability to type, organize and manage detailed data with attention to detail. Ability to acquire good working knowledge of program-specific computer applications. Good problem-solving skills, self-directed, and able to complete required assigned work independently. Effective interpersonal and communication skills with individuals in diverse professional and patient groups. Possesses knowledge and skills to work effectively with patients and their families including neonate, children, adolescents, adults and the elderly. Must have strong communications skills and work well with all employees and the public at large; observes high standard of confidentiality. Must maintain positive attitude when working. Ability to deal with a large volume of calls and multiple tasks concurrently; memory for details essential. Must be able to prioritize and complete tasks under stressful conditions with interruptions. Ability to accept and implement change and function in instances where decisions are not always apparent. Required to apply routine decisions to defined problems. Responsible for selecting courses of action that have substantial effect on customer satisfaction and revenues, where decisions are guided only by general policy; required to deal with issues of a complex nature, requiring good judgment. Must be self-motivated and dependable, must possess knowledge and skills to work effectively with patients and their families.

Provides routine office and clerical support to department staff, as appropriately delegated.

Documents assistance in Case Management system and Epic.

Responsible for maintaining Medicare regulatory compliance with the delivery of the "Important Message" documents.

Collaborates with the RN Case Manager and SW Case Manager to develop a plan of care for discharging the patient.

Assists with nursing home placement to ensure a smooth transition for the patient, including: placing referrals, updated referrals, and answering incoming calls from the nursing facilities

Collects data on assigned patients and help to ensure accurate documentation

Demonstrates knowledge of Medicare and MOON letter guidelines, and delivers the letters based on the timelines outlined.

Performs or assists case managers and/or social workers with daily tasks. This may include assisting in arranging transportation and/or transport and other necessary tasks.

Schedule specialty and primary care post discharge appointments.

Obtain prior authorization as needed.

Acts as liasion for ED providers and Hospitalists for ancillary services.

Coordinate external primary and specialty services in and out of network.

Communicates post discharge directives, appointments and necessary information.