Case Management Assistant

Gonzaba Medical Group•San Antonio, TX

7d•Onsite

About The Position

This role supports the Case Management Nurses in various tasks, including monitoring patients on the hospital census, scheduling patient appointments for hospital follow-ups and the High-Risk Team, and facilitating the coordination of authorized Referral Services. The Case Management Assistant will utilize multiple sources to compose an accurate daily Hospital Census capturing all Secure Horizon / Evercare patients in the hospital, SNF, and outpatient surgery facilities, distributing the census per protocol to appropriate physicians and staff. Based on hospital discharges, they will contact patients/families to schedule timely Hospital Follow-up appointments and communicate patient concerns promptly to Case Manager nurses. The role also involves scheduling patients to the High-Risk Team of providers for appropriate visits/care based on HRT audit, assisting in tracking High Risk patients and completion of the audit plan, and receiving inbound calls to assist patients with health plans or care-related issues. Additionally, the assistant will help patients with information about community resources, arrange transportation for patients to/from healthcare visits, and assist with producing letters, faxing documents, and mail-outs. Maintaining strict member and company confidentiality is crucial. The work environment may be a clinical setting or office setting in a clinic, with potential exposure to communicable diseases, bodily fluids, and other conditions common to a clinic environment. This position requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, and lifting up to 40 lbs. without assistance, along with close vision and the ability to adjust focus. The ability to work efficiently under pressure is also necessary. Gonzaba Medical Group seeks team members who are A-Players, demonstrate a strong work ethic, and are committed to the culture and core values.

Requirements

All duties performed will be done accurately and in a timely manner.
Develop and maintain supportive, productive, and effective relationships with external and internal partners.
Must have excellent written and verbal communication skills.
Strong attention to detail and exceptional organizational skills.
Minimum high school education or equivalent required.
Experience in a clinic, doctor’s office or hospital with a minimum of one-year experience required.
Skilled in use of computer/EMR systems.
Knowledge of Word processing software, spreadsheet software, Internet, and database software.

Responsibilities

Utilizes multiple sources to compose an accurate daily Hospital Census capturing all Secure Horizon / Evercare patients in the hospital, SNF, outpatient surgery facilities.
Distributes census per protocol to appropriate physician and staff.
Based on hospital discharges; contacts patients / families to get them scheduled for timely Hospital Follow-up appointments.
Communicates patient concerns promptly to the Case Manager nurses for attention and follow-up.
Schedules patients to the High-Risk Team of providers for appropriate visit / care based on HRT audit.
Assists in tracking High Risk patients and completion of audit plan.
Receives inbound calls to assist patients with health plans or care related issues.
Assists patients with information about community resources available to support their healthcare/social need.
Arrange transportation for patients to/from health care visits.
Assists with producing letters, faxing documents and mail outs (certified and other).
Maintains strictest member and company confidentiality.