Case Management Assistant

HCA Healthcare•Englewood, CO

About The Position

The Case Management Assistant (CMA) works under the direction of an RN case manager or social worker to support case management functions. The role helps facilitate patient discharges that require post-acute placement or services, identifies and reports discharge barriers, and provides administrative and clerical support. The CMA coordinates with case managers and social workers, communicates progress updates, and directs patient questions to the appropriate case management professional. The position also supports multidisciplinary rounds and uses case management systems, standards, and processes. The CMA coordinates post-acute care referrals, sends the required medical-record information, monitors referral progress, and works to expedite discharge. The role communicates referral outcomes and barriers to the case management team and patients, including obtaining signed Patient Choice letters. Additional duties include delivering Medicare and BPCI-A notices as applicable, obtaining physician signatures, and arranging transportation or preparing discharge packets according to facility practice. The CMA maintains relationships with post-acute care providers and follows regulatory requirements, HCA Ethics and Compliance policies, the Code of Conduct, and the Mission and Value Statement.

Requirements

  • Medical knowledge and terminology required.
  • At least one year of experience in a health care setting required.

Nice To Haves

  • Associate degree preferred.

Responsibilities

  • Coordinate with RN case managers and social workers to provide support and communicate progress updates throughout the day.
  • Refer patient questions to the case manager or social worker.
  • Provide clerical support during multidisciplinary rounds, including updating NATE Tempo at the direction of the team.
  • Make referrals through the web-based referral system to requested post-acute care providers and send the medical-record information required for the level of care.
  • Monitor patients with post-acute care referrals and intervene to expedite discharge.
  • Prioritize workload to ensure timely contact and intervention with post-acute care providers.
  • Send additional information to post-acute care providers when requested.
  • Communicate referral status, bed availability, and unresolved barriers to RN case managers and social workers.
  • Communicate post-acute care referral results to patients and obtain signed Patient Choice letters.
  • Monitor planned discharge dates for Medicare patients and deliver the Important Medicare Message according to facility policy.
  • Deliver the Beneficiary Notice to patients identified as being in the BPCI-A program at applicable Bundle Payment hospitals.
  • Obtain physician signatures on required Case Management documents and forms.
  • As directed by facility practice, arrange transportation, send information to the Transfer Center, and generate discharge packets for post-acute care transfers.
  • Use Case Management systems, standards, and processes.
  • Maintain knowledge of and develop relationships with post-acute care providers.
  • Follow regulatory requirements, HCA Ethics and Compliance policies, the Code of Conduct, and the Mission and Value Statement.

Benefits

  • Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
  • Wellbeing support, including free counseling and referral services.
  • Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
  • 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
  • Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
  • Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
  • Fertility and family-building benefits and adoption assistance.
  • Life insurance and supplemental health protection plans.
  • Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
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