Case Manager Assistant Full Time 40 hours

BRISTOL HOSPITAL GROUP•Bristol, CT

5d•$18 - $40•Onsite

About The Position

The Discharge Planning Associate (DPA) supports the Case Management department by serving as a communication link between hospital staff, outside providers, and payers. The DPA processes requests, obtains approvals, and alerts Case Management staff when authorizations are delayed or denied so that appropriate action can be taken. The role also provides clerical support to the department manager, including tracking and compiling performance statistics, and serves as a liaison among Case Management, Health Information Management (HIM), compliance, patient access, and financial services. The position supports discharge planning, payment and authorization workflows, compliance with federal and state requirements, and department operations. It requires independent work with minimal supervision, sound judgment, effective organization, and professional communication with hospital staff and external contacts. The DPA is expected to maintain confidentiality and follow hospital and departmental policies and procedures.

Requirements

High school diploma; an associate degree is also accepted.
Working knowledge of medical terminology.
Strong computer and clerical skills.
Ability to perform duties independently with minimal supervision.
Good judgment and analytical ability.
Ability to handle difficult situations tactfully while maintaining a calm demeanor.
Ability to maintain confidentiality and comply with professional ethics and departmental standards.

Nice To Haves

Associate degree preferred.
Work experience in a healthcare setting preferred.

Responsibilities

Support execution of discharge plans by uploading or faxing patient referrals to outside reviewers and assisting reviewers as needed.
Fax, mail, or electronically submit preadmission, transfer, discharge, clinical, and other relevant information as directed by the Case Manager or Social Worker.
Arrange transportation for patients going to rehabilitation facilities, skilled nursing facilities, or nursing homes.
Obtain approvals from payers and providers.
Notify Case Management when clinical information is requested and distribute denials to the appropriate case manager for response.
Notify the Case Management Director of approvals, denials, and appeals.
Enter authorization and denial information in tracking sheets and the medical record.
Assist Case Managers and Social Workers with distributing Medicare-required notices.
Notify the CMRN when patients or families have questions about the Medicare Important Message (IM), Medicare Outpatient Observation Notice (MOON), or level-of-care implications.
Track and report compliance with distribution of required notices.
Schedule meetings, invite participants, and track minutes as directed.
Maintain an accurate staff schedule and communicate it to the team.
Maintain and reorder office supplies and equipment.
Record and track pertinent information and statistics for the department and utilization management personnel, including issuances of ABNs, CC44, and HINNs.
Compile and track audit requests, including avoidable-day requests, as requested.
Relay information and questions appropriately.
Perform other duties and special projects as assigned.
Coordinate workload to achieve productivity and efficiency, suggest workflow improvements, exercise good judgment, and escalate issues and barriers to department leadership.
Build cooperative working relationships and maintain professional, tactful communication with internal and external contacts.
Maintain confidentiality and comply with professional ethics and hospital and departmental policies and procedures.