Case Management Assistant

CommonSpirit HealthLos Angeles, CA
Onsite

About The Position

The Case Management Assistant provides administrative support for the Case Management department. This role involves tasks that do not require a clinical license, such as ensuring office supplies and equipment are available and functional. The assistant schedules and facilitates post-acute care referrals, durable medical equipment (DME) arrangements, and follow-up appointments under the supervision of licensed staff. This includes daily communication with post-acute providers regarding discharge plans and patient needs. The position also involves prioritizing and forwarding communications related to insurance requests, denials, and Physician Advisor status recommendations to the appropriate Care Coordinator, and documenting related authorizations, denials, or status determinations in the EMR or software program. Additionally, the assistant may obtain patient or family signatures on required documentation under supervision and maintain these documents according to hospital policy. The role requires compliance with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors for placement, payment, or referral.

Requirements

  • High School Graduate or GED
  • Minimum of one year of experience supporting clinicians in demanding and fast-paced patient care environments, and/or medical office experience.
  • Current-Demonstrated experience in Microsoft Office, typing, and computer data entry.
  • Proficiency in Microsoft Office applications including Word, basic Excel spreadsheet manipulation, typing, and data entry skills.

Nice To Haves

  • Associate Degree or LVN preferred

Responsibilities

  • Provides administrative support for the department by performing assigned tasks or activities that do not require a clinical license.
  • Ensures office supplies and department equipment are available, current, and functional.
  • Schedules, arranges, and facilitates post-acute care referrals, DME, or follow-up appointments under the supervision of licensed staff.
  • Provides daily updates or communication between the department and post-acute providers regarding changes in anticipated discharge date, needs, or plan.
  • Prioritizes and forwards communications relating to insurance requests, denials, and Physician Advisor status recommendations to the appropriate Care Coordinator.
  • Documents any related authorizations, denials, or status determinations in the designated EMR or software program.
  • May obtain patient or family signatures on required documentation under the supervision of clinical staff and maintains such documents in accordance with hospital policy.
  • Complies with confidentiality policies, HIPPA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment, or referral.
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