Case Management Assistant Part Time - non-benefited position

Vibra Healthcare•Fresno, CA

18d

About The Position

San Joaquin Valley Rehabilitation Hospital in Fresno, California, is hiring a part-time Case Management Assistant for a non-benefited position. The hospital is a 62-bed acute rehabilitation facility serving people recovering from injuries or illnesses that have caused disabilities. The Case Management Assistant provides clerical and administrative support to the Case Management team to facilitate care coordination, discharge planning, and utilization review. Duties include tracking concurrent review deadlines, obtaining and sending clinical information to third-party payors, confirming receipt, obtaining authorizations, and accurately documenting them in the HMS financial system. After training, the assistant may help issue the Medicare Important Message. The role also supports initial post-discharge referrals and follow-up with providers, arrangements for post-acute services and transportation, preparation of discharge packets, and scheduling post-discharge physician appointments. The assistant may make post-discharge calls to patients and providers and refer additional 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 data-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 the 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

Track dates when concurrent reviews are due to third-party payors.
Obtain updated clinical information from the EMR, chart, or managed care forms completed by case managers, and fax the information to third-party payors.
Obtain fax confirmations and follow up with payors to verify receipt of concurrent review information.
Obtain authorizations and accurately document them 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 in arranging post-acute services, including Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion, Wound Care Centers, and post-discharge transportation.
Assist with preparation and completeness of discharge packets accompanying patients to Skilled Nursing, Subacute, and Acute Rehab Facilities.
Assist with arranging post-discharge appointments with primary care physicians and specialists.
Make post-discharge calls to patients and providers as needed, 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.