Case Management Assistant, Acute Case Management, Full Time, Days

Jackson Health System • Miami, FL

29d • Onsite

About The Position

The Case Management assistant provides daily support to the Clinical resource Management Department in the process of quality and utilization data necessary for the day-to-day operations of the dept. Facilitates appropriate follow up in administering The Centers for Medicare & Medicaid Services forms (Medicare outpatient Observation notices and Important Message forms to enhance the quality of the services being provided to our patients across the system.

Requirements

• Generally requires 1 to 3 years of related experience.
• High school diploma is required.
• Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with critical thinking and professional composure.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in use of job appropriate technology and software applications.
• Valid license or certification is required as needed, based on the job or specialty.

Nice To Haves

• Case Management experience, strongly preferred.

Responsibilities

• Provides the Centers for Medicare & Medicaid Services CMS forms (MOONS, IMs) to patients in a safe, timely, and effective manner.
• Verifies and assures that documentation entered within the patients' medical records are entered accurately and kept confidential. Responds and verifies inquiries from CRM leadership team and/or responsible parties.
• Interacts with patients to keep track of their progress and to ensure satisfaction.
• Adhere to professional standards as outlined by protocols, rules and regulations.
• Develops effective working relationships with CRM team. Facilitates multiple care aspects as requested by CRM leadership team for DC planning (case coordination, information sharing, etc).
• Under direction of CRM leadership, assist with the daily referrals, per standard protocols, to Primary Care Physician and JHS specialty clinics, scheduling diagnostic studies and other clinics appointment and procedures.
• Coordinates with outpatient studies as needed.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned.
• The incumbent may attend management meetings and may be involved directly or indirectly around confidential management decisions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees