The Case Management Assistant provides transition support for post-acute care needs, and preventative outpatient services in order to support appropriate delivery of care. He/She serve as an integrated team member to ensure patients achieve a safe and timely discharge from the acute care to the outpatient setting. Responsibilities center around support to the hospital and community-based service requests from the nursing staff, Care Coordinators, Call Center, Care Management, Therapists, Hospitalists, or private physician's practices in the PathfinderHealth ACO.
Administrative * Partners with the Interdisciplinary team to facilitate placement in a SNF, rehab, sub acute, assisted living facility, Home Health Care, DME and other services as ordered. * Obtains/processes necessary documents to initiate and complete placement/ arrangements. * Arranges/maintains appropriate transportation requests as needed. * Schedules follow-up appointments and document in EMR of patients. * Works with insurance companies and service units to relay necessary information for service authorization. * Procures O2, DME and wound vacs prior to discharge. * Screens patients for second IMM letters. Delivers second IMM and MOON letters to patients. |
Communication * Communicates with the team to keep them informed of the progress of their request. * Collaborates and provides useful resources regarding community services to the patients, as well as offering information on the patient assistance fund with appropriate discretion to support patient needs. * Works in collaboration with the physicians, outside offices, and hospital staff on the status of the patient. |
Compliance/Safety * Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. * Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility. * If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. * Completes all company mandatory modules and required job-specific training in the specified time frame. * Maintains confidentiality of all department, patient, and employee matters. |
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