Case Management Assistant

Overview

COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE!

We are seeking a Case Management Assistant to join our team!

Hospital Details

Vibra Hospital of Sacramento, located in Folsom, CA, is a 58 bed Critical Care Hospital providing acute care services to patients recovering from serious illnesses or injuries. Often our patients require additional critical care services for medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation and ventilator weaning. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families.

Responsibilities

Provides clerical and administrative support to the Case Management team to facilitate care coordination, discharge planning, and utilization review. This may include but is not limited to: Tracking dates that concurrent reviews are due to third party payors; Obtaining updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxing to third party payors; Obtaining fax confirmation and making follow up calls to verify concurrent review information was received; Obtaining authorizations and documenting these with accuracy in the HMS financial system. After receiving training may assist with issuing the Medicare Important Message. Assists with initial post discharge referrals and makes follow up calls to providers regarding referrals and acceptance. Assists with arrangement of post-acute care services such as Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion and Wound Care Centers, and post discharge transportation. Assists with preparation and completeness of discharge packets that accompany patients to Skilled Nursing, Subacute, and Acute Rehab Facilities. Assists in arranging post discharge physician appointments with primary care physician and specialist. May conduct post discharge calls to patients and providers and refer to appropriate disciplines if additional follow up is needed.

Required Skills:

• High school diploma or equivalent required. Knowledge of medical terminology required.

• Minimum one (1) year of experience as an Administrative Assistant or higher role required.

• Previous experience in a health care or health insurance setting required.

• Significant computer/data gathering and processing experience required.

Additional Qualifications/Skills:

• One (1) year of college preferred.

• Acute Care Hospital experience preferred.

• Experience working with Third Party Payor's preferred.

• Knowledge of reimbursement programs, case management, and discharge planning preferred.

• Knowledge of federal and state regulatory standards, and Policies and Procedures.

• Ability to understand and complete work under deadlines.

• Strong organizational, prioritizing, and analytical skills.

• Ability to make independent decisions when circumstances warrant.

• Working knowledge of computer and software applications used in job functions.

• Ability to project a professional image.

• Freedom from illegal use of and effects of use of drugs and alcohol in the workplace.

Benefits

At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits.

• Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets

• FREE prescription plans

• Dental and Vision coverage

• Life insurance

• Disability Benefits

• Employee Assistance Plan

• Flex Spending plans, 401K matching

• Additional Critical Illness, Accident, and Hospital plans

• Company discounts for mobile phone service, electronics, cell phones, clothing, etc

• Pet Insurance

• Group legal - provides legal assistance with personal legal matters

• Tuition and continuing education reimbursement

• Work life balance

At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization.

Posted Total Compensation

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It's not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.