Case Management Assistant, Per-Diem, Multiple Shifts, Jackson South

Jackson Health•Miami, FL

About The Position

The Case Management Assistant provides daily support to the Clinical Resource Management Department by processing quality and utilization data needed for the department’s day-to-day operations. The position facilitates follow-up and administration of Centers for Medicare & Medicaid Services forms, including Medicare outpatient observation notices and Important Message forms, to support the quality of services provided to patients across the system. The role works under the direction of CRM leadership to assist with referrals, discharge planning coordination, appointment and diagnostic study scheduling, and communication with patients and other parties. It also involves maintaining accurate and confidential medical-record documentation, responding to inquiries, and upholding professional standards and CARE values. The incumbent may attend management meetings and may be involved directly or indirectly in confidential management decisions.

Requirements

Generally, 1 to 3 years of related experience.
High school diploma.
Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
Ability to communicate effectively orally and in writing.
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 using job-appropriate technology and software applications.
Valid license or certification when required based on the job or specialty.

Responsibilities

Provide CMS forms (MOONs and IMs) to patients in a safe, timely, and effective manner.
Verify that documentation entered in patients’ medical records is accurate and kept confidential.
Respond to and verify inquiries from the CRM leadership team and/or responsible parties.
Interact with patients to track their progress and help ensure satisfaction.
Adhere to professional standards outlined by protocols, rules, and regulations.
Develop effective working relationships with the CRM team.
Facilitate care-related tasks requested by CRM leadership for discharge planning, including case coordination and information sharing.
Under CRM leadership direction, assist with daily referrals to Primary Care Physicians and JHS specialty clinics according to standard protocols.
Schedule diagnostic studies, clinic appointments, and procedures.
Coordinate with outpatient studies as needed.
Demonstrate service excellence and CARE values: Compassion, Accountability, Respect, and Expertise.
Perform other related job duties as assigned.
Attend management meetings and potentially participate directly or indirectly in confidential management decisions.