Care Coordination Case Assistant - Inpatient

Overview: The Case Assistant provides operational assistance to the Carle Care Coordination department and works closely with the Social Worker and RN Case Manager. Responsibilities include: faxing, copying, sending referrals for the RN Case manager, Medicare Letter delivery, delivery of Federal(MOON) and State Observation letters. Responsible for screening, scheduling and directing patients to appropriate providers and services. Conveys a positive image of Carle and providers 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. Responsibilities:

Essential Functions

Provides routine office and clerical support to department staff, as appropriately delegated.

Documents assistance in Case Management system and Epic.

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

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

Collects data on assigned patients and help to ensure accurate documentation

Demonstrates knowledge of Medicare and MOON letter guidelines, and delivers the letters based on the timelines outlined.

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.

Obtain prior authorization as needed.

Acts as liasion for ED providers and Hospitalists for ancillary services.

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

Communicates post discharge directives, appointments and necessary information.

 

Qualifications:

Attend and satisfactorily complete all required continuing education regarding the care of acute stroke patients.

 

Work Experience	Length of Experience
Customer service	3+ years

 

Specialized Knowledge and Skills Requirements

Ability to type, organize and manage detailed data with attention to detail. Ability to acquire good working knowledge of program-specific computer applications. Good problem-solving skills, self-directed, and able to complete required assigned work independently. Effective interpersonal and communication skills with individuals in diverse professional and patient groups. Possesses knowledge and skills to work effectively with patients and their families including neonate, children, adolescents, adults and the elderly. Must have strong communications skills and work well with all employees and the public at large; observes high standard of confidentiality. Must maintain positive attitude when working. Ability to deal with a large volume of calls and multiple tasks concurrently; memory for details essential. Must be able to prioritize and complete tasks under stressful conditions with interruptions. Ability to accept and implement change and function in instances where decisions are not always apparent. Required to apply routine decisions to defined problems. Responsible for selecting courses of action that have substantial effect on customer satisfaction and revenues, where decisions are guided only by general policy; required to deal with issues of a complex nature, requiring good judgment. Must be self-motivated and dependable, must possess knowledge and skills to work effectively with patients and their families.

 

Carle Health Company Overview:

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

 

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We’ve grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We’re developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Methodist College. 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. 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: [email protected].

Salary Range: The compensation range for this position is $18.97per hour - $30.73per 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.