Case Management Assistant, Case Management, Full Time, Days

Jackson Health•Miami, FL

2d•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.
Valid license or certification is required as needed, based on the job or specialty.

Nice To Haves

Experience within acute care hospital setting 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