Case Management Assistant Jobs

About The Position

Requirements

• High School Diploma/GED Equivalent in General Studies
• 1+ years of Clerical Experience
• 1+ years of Medical Terminology Experience

Nice To Haves

• Certified Nurse Aide (CNA) - South Dakota Board of Nursing

Responsibilities

• Collaborates with the healthcare team, patients/families, payers, physician offices and other community agencies ensuring a team environment.
• Demonstrates excellent customer service skills in all interactions to provide a smooth and efficient department operation allowing for maximum comfort and confidentiality for the customer.
• Prioritizes workflow and knows when to ask for help.
• Verifies and obtains benefits levels from insurance carriers and employers when applicable and maintains appropriate and accurate documentation, both written and electronically.
• Maintains working knowledge of procedures and insurance requirements.
• Responsible to obtain the necessary knowledge and experience to perform job tasks in compliance with federal, state, and local laws, regulations and guidelines.
• Maintains compliance with all department policies and procedures.
• Completes Medicare Message follow up letter and Medicare Outpatient Observation Notices as identified by department process.
• Educates patients and families on coverage and coordination progress as directed by Case Management/ Utilization Management team.
• Coordinates, under direction of the nurse Case Manager/Social Worker and in collaboration with the healthcare team, patient care transitions which may include faxing information, arranging authorization and transportation, confirming arrangements, obtaining clothing, durable medical equipment etc.
• Supports comprehensive coordination of medical services including intake, screening and supporting the implementation of care plans to promote effective utilization of healthcare services.
• May assist in providing transportation as directed.
• Participate in staff meetings, training and/or in-services and on-going educational groups.
• Contributes to documentation of coordinated functions in appropriate computer systems and the patient’s electronic medical record.
• All other duties as assigned.

Benefits

• Medical, Vision and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• Paid Time Off Accrual Bank
• Tuition assistance/reimbursement