Case Management Assistant Temp

Vibra Healthcare•Folsom, CA

10d•Onsite

About The Position

Vibra Healthcare is seeking a Case Management Assistant to provide clerical and administrative support to the Case Management team at Vibra Hospital of Sacramento in Folsom, California. The hospital is a 58-bed critical care hospital serving patients recovering from serious illnesses or injuries, including patients with medically complex conditions. The role supports care coordination, discharge planning, and utilization review. Duties include tracking concurrent review deadlines, gathering clinical information from the electronic medical record or case manager forms, sending information to third-party payors, confirming receipt, obtaining authorizations, and accurately documenting them in the HMS financial system. Following training, the assistant may help issue the Medicare Important Message. The assistant also supports post-discharge referrals and follow-up with providers, arrangements for post-acute care services and transportation, preparation of discharge packets, and scheduling follow-up physician appointments. The position may include post-discharge calls to patients and providers and referring follow-up needs to appropriate disciplines.

Requirements

High school diploma or equivalent.
Knowledge of medical terminology.
At least one year of experience as an Administrative Assistant or in a higher role.
Previous experience in a health care or health insurance setting.
Significant computer, data-gathering, and processing experience.
Knowledge of federal and state regulatory standards and policies and procedures.
Ability to understand and complete work under deadlines.
Strong organizational, prioritizing, and analytical skills.
Ability to make independent decisions when circumstances warrant.
Working knowledge of computer and software applications used in job functions.
Ability to project a professional image.
Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

Nice To Haves

One year of college.
Acute Care Hospital experience.
Experience working with third-party payors.
Knowledge of reimbursement programs, case management, and discharge planning.

Responsibilities

Provide clerical and administrative support to the Case Management team for care coordination, discharge planning, and utilization review.
Track due dates for concurrent reviews to third-party payors.
Obtain updated clinical information from the EMR/chart or managed care forms completed by case managers and fax it to third-party payors.
Obtain fax confirmations and follow up with payors to verify that concurrent review information was received.
Obtain authorizations and document them accurately in the HMS financial system.
After receiving training, assist with issuing the Medicare Important Message.
Assist with initial post-discharge referrals and follow up with providers regarding referrals and acceptance.
Assist with arranging post-acute care services, including Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion, Wound Care Centers, and post-discharge transportation.
Assist with preparing complete discharge packets for patients going to Skilled Nursing, Subacute, and Acute Rehab Facilities.
Assist in arranging post-discharge appointments with primary care physicians and specialists.
May make post-discharge calls to patients and providers and refer additional follow-up needs to appropriate disciplines.

Benefits

Medical PPO plans with high- and low-deductible options, HSA options, and HMO options in some markets.
Free prescription plans.
Dental and vision coverage.
Life insurance.
Disability benefits.
Employee Assistance Plan.
Flexible spending plans.
401(k) matching.
Additional Critical Illness, Accident, and Hospital plans.
Company discounts for mobile phone service, electronics, clothing, and other items.
Pet insurance.
Group legal assistance for personal legal matters.
Tuition and continuing education reimbursement.
Work-life balance.