Care Management Associate NE

INTEGRIS Health•OK, OK

9d•Onsite

About The Position

The Care Management Associate supports the case management team by coordinating patient care, facilitating hospital operations, and helping achieve quality patient outcomes. The role assists with care planning, discharge planning, referrals, resource coordination, Medicare communications, and case management data and analytics. It collaborates with patients, families, clinical staff, external providers, insurers, and community services while following INTEGRIS Health’s Mission, Vision, and Values and applicable safety, privacy, regulatory, and hospital requirements. The position also adheres to National Patient Safety Goals as appropriate to its level of patient contact.

Requirements

1–3 years of experience in a hospital or health care setting; case management, patient care coordination, or health care administration experience is preferred within this requirement.
High school diploma or GED.
BLS certification, with ongoing certification maintenance.
Excellent verbal and written communication skills.
Strong organizational and multitasking abilities.
Knowledge of health care terminology and processes.
Ability to work effectively in a fast-paced, team-oriented environment.
Compassionate and empathetic approach when interacting with patients and families.
Proficiency with office software, such as Microsoft Office Suite, and EHR systems.
Ability to maintain confidentiality and follow privacy regulations, including HIPAA.
Strong problem-solving abilities and attention to detail and accuracy.
Ability to handle sensitive situations tactfully and professionally.
Ability to work independently with minimal supervision.

Nice To Haves

Experience with Electronic Health Record (EHR) systems.
Associate’s degree in health services, social work, nursing, or a related field.
Bachelor’s degree in social work, nursing, or a related health care discipline.
Certification in Case Management (CCM) or a related certification; preferred but not required at hiring.
Basic Life Support (BLS) certification may be required depending on hospital policy.

Responsibilities

Assist case managers and health care professionals with care plans and resource coordination; maintain current patient documentation.
Collaborate with clinical staff on discharge plans and continuity of care, and educate patients and families about discharge instructions, follow-up care, and community resources.
Identify patients needing additional services, initiate referrals, monitor their progress, maintain referral records, and follow up with external providers.
Coordinate with external providers, specialists, insurance companies, and social services to help ensure timely processing of referrals and patient care needs.
Inform patients and families about referral outcomes and next steps, and address related questions or concerns.
Ensure Medicare patients receive relevant benefit, coverage, and rights communications; collaborate with case managers to provide required discharge notices, including the Important Message from Medicare.
Follow Medicare communication and documentation requirements and educate beneficiaries and families about discharge rights, benefits, and appeal processes.
Maintain accurate case management data in the Electronic Health Record and other databases; enter and track patient progress, interventions, and outcomes, preserving data integrity for reporting and audits.
Assist with analysis of case management data, identify trends and improvement opportunities, provide insights, and support preparation of reports for internal and external stakeholders.
Follow Key Process Standard Work, established workflows, guidelines, and protocols; participate in process reviews and continuous improvement.
Help identify and coordinate access to community resources, including home health services, durable medical equipment, transportation, and financial assistance.
Ensure activities comply with health care laws, regulations, hospital policies, HIPAA, and other applicable privacy requirements.
Communicate and collaborate with multidisciplinary teams, including physicians, nurses, social workers, and insurance providers.
Participate in quality improvement efforts and provide input to improve processes, outcomes, and patient satisfaction.
Advocate for patients and families by providing education and emotional support regarding care plans, insurance coverage, and discharge processes.
Adhere to National Patient Safety Goals as appropriate to the position’s level of patient contact.