Integrated Care Management Assistant Case Management

Department: Case Management

Hours per pay period: 0

Schedule: 8:00 a.m. - 4:30 p.m.

Position Summary: Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing clerical functions to ensure the efficient operation of the ICM department.

Essential Functions and Responsibilities as Assigned:

1. Assists with facilitating discharge planning to expedite a successful transition of care.

2. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets that enhance patient/family choice of providers, agencies and other professional health care services.

3. Assists with the coordination post discharge placement and services by making referrals, confirming specific placement and service arrangements, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.

4. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.

5. Performs concurrent and retrospective utilization management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported including Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) completion.

Required

· Associate degree in healthcare-related field

· Two years of clerical experience

· One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology

· Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

Preferred:

· Bachelor’s degree in coding/medical records/billing or UM

· Two years of case management or utilization review experience

· Three years of recent experience doing third party payer certification