Clinical Case Manager Assistant

Description:

COLLABORATION WITH CARE COORDINATION (CC) TEAM TO EXECUTE TRANSITION OF CARE (TOC) PLAN. • Collaborates with Case Managers and Social Workers in baseline patient assessment to identify post hospital support and any discharge needs. • Collaborates with Case Managers and Social Workers jointly to communicate and problem solve in the development of the TOC plan o including offering choices and preferences for post-acute providers, available resources and sharing the expected discharge date and disposition. • Ensures the patient and medical facility receives information on benefit coverage including partnering with payers when needed. • Monitors progress towards meeting the TOC goals and escalates to Case Managers and Social Workers any barriers to achieving the recommended goals identified in the plan. • Assures the patient and medical facility are kept informed of the progression of the TOC plan throughout the hospital stay. • Coordinates all the necessary post discharge referrals and authorizations in collaboration with the CC team. • Monitors and communicates with Case Managers and Social Workers regarding status of post hospital provider referrals, identification of barriers and/or progress in TOC goals throughout the day to promote timely discharge. • Facilitates the transfer of a patient to an appropriate post-acute facility, by preparing documents for the receiving provider, assisting in obtaining physician signatures and providing assistance with transportation services • Delivers the Medicare "Important Message" (IM) and informs patient or medical facility of their right to appeal their discharge. • Proactively identifies, communicates and resolves barriers that impede a timely TOC plan; escalate unresolved barriers to Case Managers and Social Workers or leadership. • Actively participates in daily team huddles and CC department meetings. • Contributes to team decision-making process in planning daily priorities, resolving barriers and conflicts with action plans and creative solutions.

Skills:

Case Manager Assistant, Office administration, Health care, Case management, Care management, data entry, administration, microsoft office, document control, customer service

Top Skills Details:

Case Manager Assistant

Additional Skills & Qualifications:

• High School Diploma (required) - 1 year of relevant experience (medical administrative experience - health plan experience, insurance experience, clinical reviews experience, etc.) - Proficient in Microsoft Office Suite (Word, Excel, Outlook) - Excellent organizational and communication skills

• Ability to work independently and collaboratively in a fast-paced environment

• Committed to delivering quality customer service and patient care

• CANDIDATES MUST BE LOCATED WITHIN THE FOLLOWING APPROVED STATES: OR, NV, WY, CO, TX, ND, MN, WI, IL, IN, AL, VT, NH, PA, VA, NC, GA, FL, OH.

Experience Level:

Entry Level

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.