Case Management Assistant Job at Sutter Health
Organization:
MPHS-Mills-Peninsula Medical CenterPosition Overview:
Coordinates and implements the transition of care (TOC) / Discharge (DC) plan for ambulatory patients. Prioritizes and coordinates the plan across the care of continuum through critical thinking, teamwork, and communication between care providers, patients, families and external vendors to ensure timely discharge.Job Description:
COLLABORATION WITH THE ARE COORDINATION (CC) TEAM TO EXECUTE THE TRANSITION OF CARE (TOC) PLAN:
Collaborates with Case Managers and Social Workers in baseline patient assessment to identify post-hospital support and any discharge needs.- Collaborates with Case Managers and Social Workers jointly to communicate and problem solves in the development of the TOC plan including offering choices and preferences for post-acute providers, and available resources and sharing the expected discharge date and disposition.
- Ensures the patient and medical facility receive information on benefit coverage including partnering with payers when needed.
- Monitor progress toward meeting the TOC goals and escalate to Case Managers and Social Workers any barriers to achieving the recommended goals identified in the plan.
- Assures the patient and medical facility are kept informed of the progression of the TOC plan throughout the hospital stay.
- Coordinates all the necessary post-discharge referrals and authorizations in collaboration with the CC team.
- Monitors and communicates with Case Managers and Social Workers regarding thestatuss of post-hospital provider referrals, identification of barriers, and/or progress in TOC goals throughout the day to promote timely discharge.
- Facilitates the transfer of a patient to an appropriate post-acute facility, by preparing documents for the receiving provider, assisting in obtaining physician signatures, and providing assistance with transportation services.
DEPARTMENTAL GOALS & OBJECTIVES:
- Rounds with Case Managers and Social Workers on units to provide updates and/or receive direction on assistance needed.
- Delivers the Medicare “Important Message” (IM) and informs patients or medical facilities of their right to appeal their discharge.
- Proactively identifies, communicates, and resolves barriers that impede a timely TOC plan; escalate unresolved barriers to Case Managers and Social Workers or leadership.
- Actively participates in daily team huddles and CC department meetings.
- Contributes to the team decision-making process in planning daily priorities, and resolving barriers, and conflicts with action plans and creative solutions.
- Collaborates with team members on interdependent tasks.
- Demonstrates initiative and flexibility in working with intra / interdisciplinary teams.
- Actively shares knowledge and information with team members.
- Builds and maintains relationships that foster trust and confidence.
COMMUNICATION:
- Maintains accurate, current, and legible documentation according to department standards.
- Enters CC notes in the electronic medical record as needed to capture the status of referrals/communication for each patient
- Captures patient / medical facility preference(s) and other key CC discussions and agreements in the electronic medical record.
- Enters final post-discharge provider and assures closure of discharge cases in Allscripts
- Provides clerical support as needed including copying, faxing, scanning, and data entry.
- Completes all forms required for department reporting
CUSTOMER SERVICE:
- Demonstrates tact and respect for all customers.
- Actively builds positive relationships with all customers and partners.
- Uses effective communication skills to resolve issues in a timely, positive, and productive manner.
- Willingly provides and accepts direct, constructive feedback to and from colleagues and leaders.
- Identifies and escalates quality and risk management concerns to the M leadership team.
- Complies with confidentiality policies, Health Insurance Portability and Accountability Act (HIPPA) regulations, and department standards when transmitting patient information to agencies or vendors as needed for patient placement and referral.
EDUCATION
Equivalent experience will be accepted in lieu of the required degree or diploma.
HS Diploma or equivalent education/experience
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
1 year of experience in utilization management and discharge planning.
SKILLS AND KNOWLEDGE
Oral and written communication skills.
Interpersonal and time management skills
Ability to work effectively in a fast pace environment with rapidly shifting priorities and competing demands.
Ability to work independently with a minimum of direction.
Ability to exercise discretion and prioritize tasks, seeking input as indicated.
Intermediate PC skills and word processing skills required.
Pay Range: 31.42-40.84
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Job Shift:
DaysSchedule:
Per Diem/CasualShift Hours:
8Days of the Week:
VariableWeekend Requirements:
Rotating WeekendsBenefits:
YesUnions:
NoThis position is work from home eligible.
Position Status:
Non-ExemptWeekly Hours:
32Employee Status:
RegularNumber of Openings:
1Sutter Health Affiliates are equal opportunity employers EOE/M/F/Disability/Veterans.
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