Care Management Assistant

Care Management Assistant

Summa Health

• Akron City Campus

Full-Time / 40 Hours / Days

• Mon-Fri 8a-4:30p / no weekends or holidays

Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families, commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary:

The Care Management Assistant (CMA) provides administrative support to the licensed members of the Care Management team through clerical assistance with care coordination and transition planning efforts. The CMA supports efficient movement of patients to post-acute facilities including Skilled Nursing Facilities (SNF), Long-term Acute Care Hospitals (LTACH), Inpatient Rehab Facilities (IRF) and Intermediate Care Facilities (ICF) by receiving task triggers to create referrals; transmit to post-acute care provider facilities via HIPAA secure platform and triggering facility pre-certification initiation, or initiates pre-certification as directed.

The CMA supports department compliance to federal and state regulations by serving patient rights notifications related to Discharge Planning (Important Message from Medicare) and Utilization Management (Medicare Outpatient Observation Notice). The CMA works cooperatively with internal multidisciplinary teams, providers, allied health staff, as well as patients, caregivers and visitors. At the direction of the licensed staff (RN TCC or SW), the CMA assists with arranging transportation to facilities or arranging follow-ups.

The CMA works collaboratively and effectively with external community providers/agencies, facility admissions staff and insurance companies. The CMA position requires the individual to take initiative, be proficient, and have strong decision-making skills, organizational skills, communication skills and a commitment to quality and excellence in service.

Formal Education Required:

a. High school diploma or equivalent

Experience & Training Required:

a. Minimum of one (1) year experience in an administrative or business setting that requires supporting colleagues and working with data

b. Basic experience using a computer is required

c. Previous experience in healthcare preferred

d. Knowledge of medical terminology preferred

e. Minimum one (1) year experience working with electronic health record (EHR) preferred

f. Previous insurance and prior authorization experience preferred

Essential Functions:

• Assists the TCC and Social Worker with clerical functions related to facility discharge workflows.

• Assists team in preparing timely and smooth discharges. Communicates with post-acute care facilities to ensure receipt of information and pre-certifications are in place prior to patient discharge.

• Assists with workflows ensuring patient understanding of discharge appeal rights and observation.

• Documents clerical workflows in EHR.

• Demonstrates the ability and desire to learn about federal and state regulations, and departmental policies, particularly those related to discharge planning.

• Assists with Ohio HENS data entry of physician certification of SNF length of stay.

• Utilizes available educational opportunities for improving skills. Attends required in-house in-services.

• Projects positive image of the department and hospital.

• Adheres to quality standards within the department. Adheres to established standards of work performance in all areas of assignment.
  
  Participates in the Performance Improvement Plan of the department as requested. Provides cross coverage back up for peers.

Other Skills, Competencies and Qualifications:

a. Ability to prioritize with excellent organizational skills

b. Ability to work in a fast paced environment with attention to detail

c. Ability to complete multiple tasks simultaneously

d. Maintains confidentiality of all patient information

e. Demonstrates basic computer skills as well as navigation and application of electronic devices and platforms

f. Knowledge of CPT and ICD-10 codes

g. Requires interpersonal skills sufficient to interact effectively with patients, their families, interdisciplinary caregivers, peers, subordinates, and supervisors.

h. Excellent verbal and written communication skills

i. Population Specific Competency: Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity

Level of Physical Demands:

a. Sedentary, exerts up to 10 lbs of force occasionally and/or a negligible amount of force frequently.

$15.91/hr - $19.09/hr

The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay.

We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.