Case Management Assistant - PRN

Fairfax Hospital

• Transplant

• Lung

• The Case Management Assistant arranges services for assigned patient populations including Home Health, Durable Medical Equipment, Ambulance, Housing, Skilled Nursing Facility and others in order to ensure that appropriate continuing care services are in place for patient transitions. Communicates and documents accurate clinical and financial information in both verbal and written forms in order to assist Case Managers and/or Social Workers in appropriate assessments, implementations and evaluations of patients' continuing care needs. Receives and documents contract level requirements in order to ensure the appropriate utilization of benefits and services.

This is a PRN position. Days Vary

Job Responsibilities

• Conducts timely arrangements of services to meet customer requirements.

• Addresses and solves provider and payor issues quickly with support from Case Management staff and performs other duties as assigned.

• Communicates financial and clinical information to clinicians, patients, families, care team members and external customers.

• Documents clinical and financial patient information in order to assist with discharge, planning and access to continuing care services.

• Communicates with payor and documents detailed instructions on billing, authorization and utilization of services.

• Performs support services including faxing, data entry, filing and reception in order to assist with patient transition.

• Completes state and federal forms related to patient level of care, according to regulatory standards, in order to assist with patient transition.

• Anticipates needs of department and performs various duties to assist with the flow and management of patient care.

• Performs additional duties as assigned.

Additional Requirements

Experience

• 2 years of relevant experience

Education

• High School or GED