Care Management Assistant - Lorain Hospital

Mercy Health BSMH • Lorain, OH

14h

About The Position

The Care Management Assistant supports Integrated Case Management staff by providing clerical support to Case Managers and Social Workers. Duties include issuing Medicare Important Message letters, printing, faxing and distributing reports, managing mail, and retrieving phone messages. The assistant also documents actions in the electronic medical record and completes insurance precertifications.

The role involves communicating Medicare rights to patients and, when applicable, their family members; assisting with the Livanta appeals process by printing and faxing patient chart information; providing Case Managers and Social Workers with updates on commercial payer approvals and denials; and completing other office tasks in collaboration with Case Managers and Social Workers. Additional job-related duties may be assigned by the supervisor, subject to reasonable accommodation.

The work takes place in a general office environment and may involve periods of high stress, fluctuating workloads, high noise levels, bright lights, frequent interruptions, and prolonged periods of working alone. Exposure may include physical altercations or verbal abuse, limited hazardous substances or body fluids, and human blood or other potentially infectious materials. Universal precautions and personal protective equipment are required, along with adherence to infection-control policies. Overtime may be required.

Requirements

• High school diploma or GED.
• Previous healthcare experience with knowledge of patient discharge planning procedures.
• Skills in care management and discharge planning.
• Mail management, scheduling, task management, and time management skills.
• Basic computer skills and ability to analyze data or information.
• Verbal and written communication skills, including communication with family members and active listening.
• Interpersonal skills, relationship building, and teamwork.
• Attention to detail, critical thinking, and acceptance of authority.
• Must be able to work overtime as required.
• Must exercise universal precautions, use personal protective equipment and devices, and learn infection-control policies.

Nice To Haves

• Associate degree.
• EPIC Electronic Health Record training.
• CarePATH training.

Responsibilities

• Issue Medicare Important Message letters in coordination with Case Management staff.
• Communicate Medicare rights to patients and their family members, when applicable.
• Assist with the Livanta appeals process, including printing and faxing patient chart information.
• Document actions in the EMR.
• Assist Case Managers and Social Workers with faxing, mail management, phone message retrieval, and other office tasks.
• Provide Case Managers and Social Workers with updates on commercial payer approvals and denials as information is received.
• Print and distribute CarePATH reports upon request.
• Complete insurance precertifications.

Benefits

• Competitive pay, incentives, referral bonuses, and a 403(b) with employer contributions when eligible.
• Medical, dental, vision, and prescription coverage; HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off, parental and FMLA leave, short- and long-term disability, and backup care for children and elders.
• Tuition assistance, professional development, and continuing education support. Benefits may vary by market and employment status.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED