Sandoval Regional Medical Center
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Case Management Assistant F/T
at Sandoval Regional Medical Center
Case Management Assistant F/T
|Location:||Rio Rancho, NM|
Case Manager Assistant
Case Management Director
Job Summary and Scope
The case management assistant is responsible for providing assistance to case management discharge services under the supervision of the department Director or designee. The case manager assistant will assist in facilitating a smooth and timely patient discharge process by coordinating appropriate and early referrals to post-acute care providers for timely follow through. The case management assistant may work in the Emergency Department, inpatient units, or any other areas within the hospital as deemed appropriate by the leadership.
POLICIES, PROCEDURES AND GUIDELINES- Maintain established hospital as well as departmental policies and procedures, objectives, and quality assurance programs
PROFESSIONAL DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops.
PATIENT SAFETY - Report potential and actual patient safety, concerns, medical errors and or near misses in a timely manner thru the chain of command and document within the PSN system.
TEAMWORK - Maintain a cooperative relationship among health care teams and resolve patient problems and needs by utilizing multidisciplinary team strategies.
COMPLIANCE - Active participation in hospital strategic initiatives such as quality improvement and monitoring TJC compliance.
Assist in coordinating primary care physician appointments post discharge, coordinate follow up clinic appointments post discharge and communicate appointments with appropriate members of treatment team, family, patient, and patients care giver as directed.
Assist in completing referrals for home health services, hospice, durable medical equipment (DME), transportation, and skilled nursing facilities as directed.
Assist with coordinating transfer of patients to appropriate settings i.e. skilled nursing facilities, home, or other destinations as required.
Engage patient/patient caregiver/family involvement with discharge plan and communicate plans for home health care, hospice, DME, transportation, and skilled nursing facility referrals, as appropriate to members of the treatment team. Perform follow-up communication with patients, providers, or appropriate designee as directed.
Participate in patient care team meetings as directed, to review follow up actions regarding patient discharge planning.
Formulate, copy, fax, and distribute necessary correspondence and medical records as directed.
Answer phones, obtain appropriate information necessary in creating an individualized discharge plan, and respond to requests timely
Verify coverage eligibility on patients for outside services as needed
Send discharge summaries to insurance companies daily
Collect and enter required date for required reports, as appropriate.
Work closely with providers to assure adequate templates are in place, and complete all additions, removals, and/or updating all provider bumps and templates.
Communicate with IT personnel at UNMH, as well as SRMC to assure all providers have been uploaded.
Operates and maintains computers, copy/facsimile machinery.
Answers non emergent phones and assists callers with their needs, transfers caller to the appropriate department / person or places a message in the EMR for further follow up and action if indicated.
Demonstrates high level of professionalism and privacy for all patients in the acute care hospital setting.
Continuously reviews processes for operational improvement and efficiencies to ensure better lean processes.
Other duties as assigned.
SRMC Core Values
Integrity: Our words and actions match our values
To Serve: We put the needs of others before our own
Excellence: We strive to exceed expectations and/or standards in every activity, every encounter, and every initiative
Safety/Quality: We provide evidence based care, programs, services, and an environment that achieves the best outcomes
Teamwork: We enjoy the ability and power to work collaboratively to deliver exceptional service
Position does not have the scope of decision making and planning responsibilities.
Accountable for budgetary compliance with regards to weekly / monthly office supply ordering
Must be able to read, write and speak English
Contacts are normally made with others both inside and outside UNM-Sandoval.
Contacts are usually with own department staff and own supervisor and with other departments and/or locations.
Contacts frequently contain confidential/sensitive information necessitating discretion at all times.
Contacts are 50% phone interactions, 10% face to face, and 40% computer email and other methods of communication.
Ability to utilize basic office equipment i.e. computer, phone, copier
Strong interpersonal communication skills and active listening skills
Ability to work well under pressure with minimal supervision
Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction
Knowledge of administrative and clerical procedures and systems such as windows, excel, etc.
Effective written and verbal communication skills
Education: High School Diploma or GED Equivalent
Work Experience: No minimum experience required.
Preferred Education / Experience Requirements: Associate’s degree in related field, 2 years directly related experience, case management experience, utilization management experience, medical terminology experience, bilingual English/Spanish, or other language.
Job is not supervisory in nature.
Conditions of Employment
Must pass a pre-employment criminal background check, reference checks and a post offer drug screen.
Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).
Tuberculin Skin Test required annually
Hospital required vaccinations
Hospital required competencies
Typical office and/or patient care, acute care hospital environment.
Must be able to travel locally between facilities and within the surrounding community.
Occasional exposure to minimal physical risk