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 ensure quality patient outcomes. The role assists with care plans and discharge planning, coordinates referrals and access to community resources, communicates with patients and families, and collaborates with multidisciplinary teams and external providers. It also supports Medicare communications and discharge notices, maintains accurate case management records in the Electronic Health Record (EHR) and other databases, and contributes to analytics, reporting, and process improvement. The position follows Key Process Standard Work and applicable health care regulations, hospital policies, HIPAA requirements, and National Patient Safety Goals, as appropriate to the 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.
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 comply with privacy regulations such as HIPAA.
Strong problem-solving abilities and attention to detail and accuracy.
Ability to handle sensitive situations with tact and professionalism.
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 other health care professionals with care plans and coordination of patient resources; keep patient documentation accurate and current.
Collaborate with clinical staff on discharge plans and educate patients and families about discharge instructions, follow-up care, and community resources.
Identify patients who may need additional services or specialty care and initiate referrals based on their needs, preferences, and discharge plans.
Track referrals, follow up with external providers, and maintain accurate referral status and action records.
Coordinate with external health care providers, specialists, insurance companies, and social services to facilitate timely care.
Inform patients and families about referral outcomes and next steps, and address related questions or concerns.
Ensure Medicare-covered patients receive relevant benefit, coverage, and rights communications; collaborate on timely Medicare discharge notices, including the Important Message from Medicare (IMM).
Follow Medicare communication and documentation requirements and educate beneficiaries and families about discharge rights and appeal processes.
Maintain accurate and timely case management data in the EHR and other databases, including patient progress, interventions, and outcomes.
Support case management data analysis, reporting, and preparation of reports for internal and external stakeholders.
Follow Key Process Standard Work and established workflows; support process consistency and participate in continuous improvement.
Help identify and coordinate access to community resources, including home health services, durable medical equipment, transportation, and financial assistance programs.
Comply with health care laws, regulations, and hospital policies, and protect patient privacy under HIPAA and other applicable laws.
Collaborate with physicians, nurses, social workers, insurance providers, and other multidisciplinary team members to coordinate care.
Participate in quality improvement initiatives and provide input to improve case management processes and patient satisfaction.
Advocate for patients and families by providing education and emotional support about care plans, insurance coverage, and discharge processes.