Care Management Extender - Ambulatory - Family Medicine Center

OU Health•Oklahoma City, OK

About The Position

The Care Management Extender (CME) provides non-licensed clerical and administrative support to RN and social work (SW) Case Managers, helping coordinate and carry out plans of care and related case management activities. The role supports patient transitions between care settings, including skilled nursing facilities, home health care, assisted living, and outpatient treatment centers. It also helps identify appropriate placement facilities, coordinate transfers and transportation, arrange home care referrals, and schedule post-discharge appointments. The CME assists with regulatory requirements, maintains patient confidentiality, processes clinical information and correspondence, enters data into multiple systems, and supports recordkeeping. Positions are available at Level 1 or Level 2 depending on experience, education, and licenses or certifications. Level 1 requires 0–3 years of work experience; Level 2 requires 3–5 years of work experience, including at least two years in healthcare.

Requirements

High school diploma or GED.
Level 1: 0–3 years of work experience; healthcare experience preferred.
Level 2: 3–5 years of work experience, including at least 2 years of healthcare experience.
Basic Life Support certification from the American Heart Association.
Working knowledge of medical systems and medical terminology, or completion of department-approved training within three months of hire.
Knowledge of CMS regulations, payment systems, and post-acute care requirements, or acquisition of that knowledge within three months of hire.
Knowledge of third-party payer reimbursement issues and regulatory parameters, or acquisition of that knowledge within three months of hire.
In-depth understanding of typical insurance benefit plans and coverage, or acquisition of that understanding within three months of hire.
Proficiency with basic computer skills, including word processing, Excel spreadsheets, and electronic fax.
Excellent typing skills.
Ability to work independently, manage time, and prioritize patient needs.
Ability to work some weekends and holidays.
Ability to adapt to frequent changes in direction.
Excellent interpersonal and communication skills when working with nursing staff, physicians, nurse practitioners, and other health workers.
Ability to meet deadlines, manage multiple priorities, and adapt effectively to complex, fast-paced, rapidly growing, results-oriented environments.
Ability to work in a dynamic, fast-paced team environment and promote teamwork.
Excellent verbal and written communication skills.
Excellent interpersonal skills and ability to maintain composure in difficult situations.

Nice To Haves

Healthcare experience for Level 1 candidates.

Responsibilities

Assist RN/SW Care Managers with care coordination needs.
Communicate with alternate-level-of-care liaisons to identify accepting facilities and establish transfer timelines.
Arrange or assist with referrals for home care services.
Identify resources and help make timely arrangements for transportation, food, and lodging.
Arrange or assist with durable medical equipment needs as determined by hospital policy and physician orders.
Assist with scheduling appointments with primary care providers, therapists, specialists, and diagnostic testing providers as needed.
Maintain the confidentiality of patient communications and documents in accordance with hospital policy and HIPAA requirements.
Enter data into multiple systems and submit required information in a timely manner to facilitate care transitions and approvals, including PASRR and medication prior authorizations.
Issue patient correspondence to support compliance with regulatory requirements.
Respond to inquiries and maintain and revise recordkeeping and filing systems; classify, sort, and file correspondence, articles, records, and other documents.
Submit protected health information and clinical information to facilities by fax or through payer portals.
Perform other duties as assigned.