Care Management Assistant, Mary and Elizabeth Hospital

Primary Location:

Mary and Elizabeth - UMC

Address:

1850 Bluegrass Ave
Louisville, KY 40215


Shift:

First Shift (United States of America)

Job Description Summary:

• UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center.
• With more than 12,000 team members—physicians, surgeons, nurses, pharmacists, and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description:

• Under the direction of the Manager and/or Director of Care Coordination, the Case Management Assistant (CMA) performs activities which support the Care Coordination Department. The CMA has primary responsibility to collaborate, communicate, and facilitate coordination of services as established by the healthcare team and directed by the Case Manager and Social Worker. Must be able to adjust priorities quickly, organize multiple tasks simultaneously, and work interdependently with many levels of staff. Attention to detail; strong organizational, interpersonal and communication skills; and innovative problem-solving skills required. Must be able to adjust work hours depending upon departmental and organizational needs as determined by the director or manager.
• Essential Functions:
• •Works collaboratively with the RN Case Manager, Social Worker, patients, families, all members of the healthcare team, and community partners to prioritize placement requests. The CMA role and case management team are jointly accountable for measurable outcomes which are cost effective and reflect patient preferences and values. Participates as a member of a team to achieve organizational and departmental goals.
• •Delivers the MOON letter to Medicare and Medicare Replacement patient, ensure that patients understand the letter, if not contact the RN Care Manager to see for additional clarification, and document that the notice was provided.
• •Delivers the Discharge Important Message to Medicare and Medicare Replacement patients who are to be discharge or discharge will be occurring within the next 48 hours and document
• •Meets with RN Care Managers and Social Workers in the AM to determine the needs for the day
• •Coordinates the discharge needs of patients with necessary internal and external providers while protecting patient information
• •Advocates for patient/family needs in a respectful, non-judgmental, and confidential manner.
• •Establishes and maintains open lines of communication, both internal and external, to effectively represent the Case Management Department
• •Promotes departmental goals of improved quality, improved patient outcome and conserving resources as evidenced by value enhancement activities
• •Communicates timely, relevant and accurate information to the Case Managers and Social Workers involved with patient’s care. Maintains routine communication with case managers on the status of their referral requests.
• •Appropriately refers cases to manager/director of care coordination or medical director when intensity of service or severity of illness is not present and is unable to resolved.
• •Facilitates the progression of care by obtaining all necessary forms to initiate referrals for the transition of care. Distributes post-acute placement requests as directed by the RN CM and SW. Monitors the patient’s progression towards the desired outcome. Facilitates certain aspects of the discharge planning, resource referral and patient education.
• •Spends 75% of time on assigned unit.
• •Possess strong problem-solving skills and takes initiative to do so. Works effectively with others.
• •Adheres to the code of professional conduct.
• •Attends Monthly Departmental Staff Communications Meetings.
• •Serves as a patient advocate in locating resources
• •Review patient census to anticipate need for discharge planning.
• •Committed to patient satisfaction and uses appropriate tools and services recovery to meet expected patient satisfactions metrics.
• •Complete all appropriate documentation for routine referrals.
• •Works collaborative with Social Workers to identify social and financial barriers and community resources. Referral to Social Worker for patients with high risk indicators.
• •Assist RN CM and SW in obtaining physician signatures
• •Participates in RN CM and SW team planning meetings. Integrates the work of the healthcare team by coordinating resources and services requested by the team to assist in accomplishing agreed-upon goals and desired discharge plan. Continuously monitors the patient through frequent interactions with the inpatient team starting at admission through discharge to assist in timely referrals and coordination of post-acute needs.
• •Maintains current Basic Life Support-CPR.
• •Follows up with phone calls and necessary paperwork to assure seamless referrals to outside facilities (Acute care, SNF, Home Health, etc.) as directed by the team.
• •Facilitates acquisition of DME for post discharge care.
• •Arranges timely transportation for post discharge according to the discharge plan
• •Performs all clerical functions such as faxing, copying, and telephoning as necessary to expedite patient progress.
• •Send referrals to Home Health, SAR, Rehab, LTAC, Hospice, and DME. Ensure that patients and families are offered choice of post-acute provider. Follow up with agencies to see if the patient has been accepted and communicate with families and patients on the outcomes
• •Performs other duties as assigned that are aligned with the mission and purpose of the organization
• •Schedule follow up PCP and/or clinic appointments. Document appointments in EMR.
• Other Functions:
• •Knowledgeable of state laws, CMS conditions of participation, and TJC standards regarding regulatory requirements for care management and discharge planning and compliance with each.
• •Maintain compliance with all company policies, procedures, and standards of conduct.
• •Comply with HIPAA privacy and security requirements to always maintain confidentiality.
• •Attend specialty service line case conferences and staff meetings.
• Maintains current Basic Life Support-CPR.

Additional Job Description:

Education:

High school diploma or equivalent required.

Experience:

Minimum of one (1) year experience in a healthcare setting. Hospital setting preferred.

Certification:

• •BLS-CPR (required)
• •Kentucky Nurse Aide Certification preferred

Knowledge, Skills, and Abilities critical to this role:

• •Therapy and Counseling: Knowledge of principles, methods, and procedures for diagnosis, treatment, and rehabilitation of physical and mental dysfunctions, and for career counseling and guidance. Knowledge of therapeutic interventions.
• •Psychology: Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
• •Knowledge of local and state policy related to scope of role
• •Knowledge of community resources that will benefit hospital population

Language Ability:

Must be able to communicate effectively in both verbal and written formats.

Reasoning Ability :

Ability to break down problems or tasks; scanning one’s own knowledge and experience to identify causes and consequences of events

Computer Skills:

• •To perform this job successfully, an individual should be proficient in Microsoft Word, Excel and Outlook.
• •Basic computer skills including the use of electronic medical records.

Additional Responsibilities:

• •Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times.
• •Adheres to and exhibits our core values:

*Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a