Case Management Assistant

Hennepin Healthcare•Minneapolis, MN

6d•Onsite

About The Position

Under general supervision, this position coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of department goals. It assists in discharge planning to facilitate the delivery of cost-effective healthcare and aids in the identification of appropriate utilization of resources. The role works collaboratively with interdisciplinary staff internal and external to the organization and participates in quality improvement and evaluation processes related to the management of patient care.

Requirements

High school diploma or an approved equivalent combination of education and experience
Demonstrated skills in the areas of communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking
Excellent verbal and written communication skills required
Demonstrates flexibility via an ability to adapt to changing priorities and regulations
Epic
MS Office

Nice To Haves

2-year degree in Accounting, Business, Healthcare Administration, Health & Human Services or related field
2 years of healthcare experience
Experience with medical terminology and electronic health record systems
Paramedic, EMT or Nursing Assistant certification preferred

Responsibilities

Completes tasks as assigned by Clinical Coordinator or Social Worker
Makes referrals for post-acute services under the direction of the Clinical Coordinator or Social Worker team members utilizing the electronic Case Management system
Verifies patient demographic data
Provides patients and families with list of choices of post-acute providers per policy
Responds to post-acute providers timely and completes referrals per policy
Documents and communicates all elements of the post-acute referral to the Clinical Coordinator or Social Worker and the healthcare team, patient/family, and post-acute providers
Makes copies, sends faxes, and completes phone calls to arrange discharge to post-acute services and to ensure that appropriate hospital information is communicated to post-acute providers
Documents all referrals and tasks in the electronic health record
Provides patients and healthcare team information regarding resources and benefits available to the patient along with the economic impact of care options
Assists with obtaining necessary supplies and/or medical equipment for patient discharge
Arranges transport and obtain authorization as necessary
Arranges follow-up appointments
Completes Pre-Admission Screening (PAS) form for nursing facilities as directed
Accesses electronic systems, such as MNIT-S to determine patient eligibility information
Delivers Important Message from Medicare (IMM) or Administer first IMM within two days of admission and second IMM within two days of discharge (if not done by Patient Access)
Documents second IMM was administered in designated area in EMR. Ensure copy of signed second IMM is in the medical record
Assist UR nurse with clerical support (faxing, follow-up calls) for payor reviews or authorizations
Follows organizational policies and procedures and standard work to complete job functions
Establishes and maintains effective communication with all referral sources
Performs other duties as assigned