Case Management Assistant- CMH Care Facil and Util Mgt

Overview

The Case Assistant works under the direction of the Clinical Transition Specialist (RN Case Manager) and / or Social Worker to establish appropriate discharge plans for patients such as but not limited to making referrals, identifying transportation needs and making arrangements, and completing authorization requests for medications or placement. Responsible for supporting federal and state regulatory compliance through the distribution and documentation for the Important message for Medicare, the MOON and observation notices. Responsible for supporting readmission strategies through identification of patients needing a new primary care provider, and / or making appropriate post-acute follow up plans with primary care and specialty physician practices. Has a strong customer service focus as will interact with patients, families, and providers. Conveys a positive image of Carle and provides information to patients to fully utilize and benefit from Carle services both on the telephone and face-to-face and to ensure that needs of patients are met.

Qualifications

Certifications : , Education : , Work Experience : Certified nurse assistant

Responsibilities

Collaborates with the RN Case Manager and SW Case Manager to develop a plan of care for discharging the patient.

Assists with nursing home placement to ensure a smooth transition for the patient, including : placing referrals, updated referrals, and answering incoming calls from the nursing facilities

Responsible for maintaining Medicare regulatory compliance with the delivery of the "Important Message" documents.

Performs or assists case managers and / or social workers with daily tasks. This may include assisting in arranging transportation and / or transport and other necessary tasks.

Schedule specialty and primary care post discharge appointments.

Coordinate external primary and specialty services in and out of network.

Communicates post discharge directives, appointments and necessary information.

Documents assistance in Case Management system and Epic.

Collects data on assigned patients and help to ensure accurate documentation

Obtain prior authorization as needed. Acts as liasion for ED providers and Hospitalists for ancillary services. Demonstrates knowledge of Medicare and MOON letter guidelines, and delivers the letters based on the timelines outlined.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information : human.resources@carle.com.

Compensation and Benefits

The compensation range for this position is $18.39per hour - $29.79per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org / benefits.