Care Management Assistant : Care Management
About The Position
Under the supervision of the Supervisor, the Care Management Assistant performs essential duties to the provision of Care Management for Hoag Hospital and its affiliates (the “Organization”). The Care Management Assistant implements patient discharge plans, assists with coordination of clinical utilization review, and makes third party payer notifications in support of nursing and social work staff on the case management team. The Case Management Assistant also interacts with representatives from insurance companies, health maintenance organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies. Collects and audits patient outcome data, prepares reports for utilization reviews. Documents activities and progress in medical charts and computer billing/utilization systems. Inputs clinical information into database systems. Prepares Medical Appeal paperwork. The Care Management Assistant displays and practices a work-style reflecting the mission, vision and values of the Care Management team, as well as the Organization. Participates in the continuous quality improvement process. Maintains a working knowledge of departmental standard operating procedures, including the use of specialized instrumentation, Quality Control requirements, and preventive maintenance.
Requirements
- Under the supervision of the Supervisor
Responsibilities
- Implements patient discharge plans
- Assists with coordination of clinical utilization review
- Makes third party payer notifications in support of nursing and social work staff on the case management team
- Interacts with representatives from insurance companies, health maintenance organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies
- Collects and audits patient outcome data
- Prepares reports for utilization reviews
- Documents activities and progress in medical charts and computer billing/utilization systems
- Inputs clinical information into database systems
- Prepares Medical Appeal paperwork
- Displays and practices a work-style reflecting the mission, vision and values of the Care Management team, as well as the Organization
- Participates in the continuous quality improvement process
- Maintains a working knowledge of departmental standard operating procedures, including the use of specialized instrumentation, Quality Control requirements, and preventive maintenance
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Career Level
Entry Level
Education Level
No Education Listed
