Case Manager Assistant Full Time 40 hours

Bristol Hospital Group•Bristol, CT

About The Position

The Case Manager Assistant, identified in the job summary as the Discharge Planning Associate (DPA), supports the Case Management department as a communication link among hospital staff, outside providers, and payers. The role completes requests, tracks authorization activity, and alerts Case Management staff when authorizations are delayed or denied so appropriate follow-up can occur. It also provides clerical support to department leadership, 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, payer approvals, regulatory notice distribution and compliance tracking, department scheduling and records, and communication with internal and external contacts. It requires independent work with minimal supervision, sound judgment, organization, discretion, and effective collaboration. The posting specifies full-time work at 40 hours.

Requirements

High school diploma; an associate degree is preferred.
Working knowledge of medical terminology.
Strong computer and clerical skills.
Ability to work independently with minimal supervision, coordinate workload, and demonstrate good judgment and analytical ability.
Ability to communicate and collaborate effectively with internal and external contacts while maintaining confidentiality and professionalism.

Nice To Haves

Associate degree.
Work experience in a healthcare setting.

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 Case Management or Social Work staff.
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 Management and Social Work staff with distributing Medicare-required notices.
Notify the Case Management Registered Nurse 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 department and utilization management information and statistics, including issuances of ABNs, CC44s, and HINNs.
Compile and track audit requests as requested, including avoidable-day information.
Relay information and questions appropriately.
Perform duties independently with minimal supervision and coordinate workload to achieve productivity and efficiency.
Offer workflow improvement suggestions, exercise sound judgment and analytical ability, and escalate issues and barriers to department leadership.
Build cooperative working relationships with Case Management staff, Bristol Hospital staff, and provider partners; maintain a professional and calm demeanor when handling difficult situations.
Follow hospital and departmental procedures and policies, maintain confidentiality, and comply with professional ethics.
Perform other duties and special projects as assigned.