Care Management Assistant, Mary and Elizabeth Hospital

UofL Health•Elizabeth, NJ

3d•Onsite

About The Position

The Care Management Assistant (CMA) supports the Care Coordination Department under the direction of the Manager and/or Director of Care Coordination. The CMA collaborates, communicates, and facilitates coordination of services established by the healthcare team and directed by the Case Manager and Social Worker. The role requires adapting priorities quickly, organizing multiple tasks, working with staff at many levels, and demonstrating attention to detail, strong organizational, interpersonal, communication, and problem-solving skills. Work hours may be adjusted according to departmental and organizational needs as determined by the director or manager. The CMA works with patients, families, healthcare team members, community partners, RN Case Managers, and Social Workers to coordinate referrals, discharge needs, post-acute services, transportation, equipment, and follow-up appointments. The role includes providing and documenting required Medicare notices, monitoring referral progress, maintaining patient confidentiality, and supporting patient choice and advocacy. The position spends 75% of its time on an assigned unit and requires current BLS-CPR. The job is based at Mary and Elizabeth Hospital in Louisville, Kentucky, and is listed as first shift.

Requirements

High school diploma or equivalent.
At least one year of experience in a healthcare setting; hospital experience is preferred.
Current BLS-CPR certification is required.
Effective verbal and written communication skills.
Ability to break down problems or tasks and use knowledge and experience to identify causes and consequences.
Proficiency in Microsoft Word, Excel, and Outlook; basic computer skills, including use of electronic medical records.
Knowledge of therapy and counseling principles, methods, and procedures, therapeutic interventions, 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 and of community resources that benefit the hospital population.
Ability to adjust priorities, organize multiple tasks, work interdependently with staff at multiple levels, and solve problems with initiative.
Ability to maintain confidentiality and protect sensitive information.
Ability to comply with organizational and department-specific safety standards and guidelines.

Nice To Haves

Kentucky Nurse Aide Certification.
Experience in a hospital setting.

Responsibilities

Collaborate with RN Case Managers, Social Workers, patients, families, healthcare team members, and community partners to prioritize placement requests and support cost-effective outcomes that reflect patient preferences and values.
Deliver the MOON letter to Medicare and Medicare Replacement patients, ensure they understand it or contact the RN Care Manager for clarification, and document that the notice was provided.
Deliver and document the Discharge Important Message for Medicare and Medicare Replacement patients who are being discharged or expected to be discharged within 48 hours.
Meet with RN Care Managers and Social Workers in the morning to determine the day's needs and participate in team planning meetings.
Coordinate patient discharge needs with internal and external providers while protecting patient information.
Advocate for patient and family needs respectfully, without judgment, and confidentially; help locate resources and offer patients and families a choice of post-acute provider.
Maintain open internal and external communication, provide timely and accurate updates to Case Managers and Social Workers, and routinely report referral status.
Refer cases to the care coordination manager/director or medical director when intensity of service or severity of illness is not present and the issue cannot be resolved.
Facilitate care progression by obtaining forms for care-transition referrals, distributing post-acute placement requests as directed, monitoring progress toward desired outcomes, and assisting with discharge planning, resource referrals, and patient education.
Spend 75% of work time on the assigned unit and review the patient census to anticipate discharge-planning needs.
Complete routine referral documentation and follow up with phone calls and paperwork to support referrals to outside facilities, including acute care, SNF, home health, and other providers.
Send referrals to Home Health, SAR, Rehab, LTAC, Hospice, and DME providers; follow up on acceptance and communicate outcomes to patients and families.
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.
Continuously monitor patients through interactions with the inpatient team from admission through discharge to support timely referrals and coordination of post-acute needs.
Facilitate acquisition of durable medical equipment for post-discharge care and arrange transportation according to the discharge plan.
Schedule follow-up primary care or clinic appointments and document them in the EMR.
Perform clerical duties, including faxing, copying, and telephoning, as needed to expedite patient progress.
Attend monthly departmental staff communication meetings, specialty service-line case conferences, and staff meetings.
Maintain current Basic Life Support-CPR.
Follow state laws, CMS conditions of participation, TJC standards, company policies, procedures, standards of conduct, and HIPAA privacy and security requirements.
Demonstrate professionalism, service, organizational values, safety practices, confidentiality, teamwork, and commitment to patient satisfaction; perform other aligned duties as assigned.