Care Management Assistant, Mary and Elizabeth Hospital

UofL Health•Louisville, KY

4d•Onsite

About The Position

UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute, and Brown Cancer Center. With more than 12,000 team members, UofL Health focuses on delivering patient-centered care. Under the direction of the Manager and/or Director of Care Coordination, the Case Management Assistant (CMA) supports the Care Coordination Department. The CMA collaborates, communicates, and facilitates coordination of services established by the healthcare team and directed by the Case Manager and Social Worker. The position requires adjusting priorities, organizing multiple tasks, working with staff at all levels, and using strong attention to detail, organizational, interpersonal, communication, and problem-solving skills. Work hours may need to be adjusted according to departmental and organizational needs as determined by the director or manager. The CMA works with patients, families, care teams, and community partners to coordinate referrals and discharge needs, provide required notices, support patient advocacy, and facilitate transitions to post-acute care. The role spends 75% of time on an assigned unit and includes patient and family communication, documentation, scheduling, follow-up, and clerical duties. The CMA must maintain current BLS-CPR, follow confidentiality and HIPAA requirements, and comply with applicable policies and regulatory standards.

Requirements

High school diploma or equivalent.
At least one year of experience in a healthcare setting.
Current BLS-CPR certification.
Ability to communicate effectively in verbal and written formats.
Ability to break down problems or tasks and identify causes and consequences using knowledge and experience.
Proficiency in Microsoft Word, Excel, and Outlook.
Basic computer skills, including use of electronic medical records.
Knowledge of therapy and counseling principles, methods, procedures, and therapeutic interventions.
Knowledge of human behavior and performance, individual differences, learning and motivation, psychological research methods, and assessment and treatment of behavioral and affective disorders.
Knowledge of local and state policies related to the scope of the role.
Knowledge of community resources that benefit the hospital population.
Ability to adjust priorities, organize multiple tasks, work interdependently with staff at all levels, and demonstrate attention to detail, strong organizational and interpersonal skills, communication skills, and problem-solving ability.
Ability to maintain confidentiality and comply with HIPAA requirements and organizational safety standards.

Nice To Haves

Hospital-setting experience preferred.
Kentucky Nurse Aide Certification preferred.

Responsibilities

Collaborate with RN Case Managers, Social Workers, patients, families, healthcare team members, and community partners to prioritize placement requests and contribute to team and organizational goals.
Deliver and explain the MOON letter to Medicare and Medicare Replacement patients, seek RN Care Manager clarification when needed, and document delivery.
Deliver the Discharge Important Message to Medicare and Medicare Replacement patients who are being discharged or expected to be discharged within 48 hours, and document delivery.
Meet with RN Care Managers and Social Workers in the morning to determine daily needs.
Coordinate patient discharge needs with internal and external providers while protecting patient information.
Advocate respectfully and confidentially for patient and family needs, including helping locate resources.
Maintain open communication within and outside the department and provide timely, relevant, accurate updates to Case Managers and Social Workers on referral status.
Support departmental goals for quality, patient outcomes, and resource conservation; use service-recovery tools to support patient satisfaction.
Refer unresolved cases to the Manager/Director of Care Coordination or Medical Director when intensity of service or severity of illness is not present.
Obtain forms required to initiate transition-of-care referrals; distribute post-acute placement requests as directed; monitor patient progress; and assist with discharge planning, resource referrals, and patient education.
Spend 75% of time on the assigned unit.
Review the patient census to anticipate discharge-planning needs and complete appropriate documentation for routine referrals.
Work with Social Workers to identify social and financial barriers and community resources, and refer patients with high-risk indicators to a Social Worker.
Assist RN Case Managers and Social Workers in obtaining physician signatures and participate in their team planning meetings.
Coordinate resources and services requested by the healthcare team and monitor patients through frequent interactions with the inpatient team from admission through discharge to support timely referrals and post-acute planning.
Maintain current Basic Life Support-CPR.
Follow up by phone and complete paperwork to support referrals to outside facilities, as directed by the team.
Facilitate acquisition of durable medical equipment for post-discharge care and arrange timely transportation according to the discharge plan.
Perform clerical functions such as faxing, copying, and telephoning to expedite patient progress.
Send referrals to Home Health, SAR, Rehab, LTAC, Hospice, and DME; ensure patients and families are offered a choice of post-acute provider; follow up with agencies on acceptance and communicate outcomes to patients and families.
Schedule follow-up primary care provider and/or clinic appointments and document them in the electronic medical record.
Attend monthly departmental staff communications meetings, specialty service-line case conferences, staff meetings, and RN Case Manager/Social Worker planning meetings.
Maintain knowledge of relevant state laws, CMS conditions of participation, and TJC standards for care management and discharge planning, and comply with them.
Comply with company policies, procedures, standards of conduct, HIPAA privacy and security requirements, and safety standards; maintain confidentiality and protect sensitive data.
Demonstrate professionalism, service, organizational values, teamwork, and UofL Health core values in interactions and patient care.
Perform other duties assigned that align with the organization's mission and purpose.