Care Management Assistant - Orlando

Adventist Health System - Orlando, FL3.7

30+ days ago
Florida Hospital Orlando seeks to hire a Care Management Assistant who will embrace our mission to extend the healing ministry of Christ.

Facility Profile:
Located on a lush tropical campus, our flagship hospital, 1,107-bed Florida Hospital Orlando, serves as the major tertiary facility for much of the Southeast, the Caribbean and South America. Florida Hospital Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country. We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year.

Department Profile:
The Care Management Department is located in every campus throughout the Florida Hospital system. Our objective is to create a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for services to meet an individuals and family’s comprehensive needs. Care Management is an integrated department with physicians, clinical/nursing teams, ancillary departments and the revenue cycle teams. Care management meets the needs of our patients, families and significant others throughout the care continuum including the post-discharge needs.

Work Hours/Shifts:
Monday – Friday; 7:30am – 4pm

Job Summary:
The Care Management Assistant (CMA) is responsible for implementing patient discharge plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations are secured and documented as a support function for Care Management and Care Coordination staff. Interacts with representatives from insurance companies, managed care organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies as required. Responsible for assisting in coordinating care and services for assigned patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family. The CMA establishes a general working knowledge of payer-specific documentation and authorization requirements, and regulatory requirements regarding the clinical review process, provision of services, and post discharge services. Ensures discharge arrangements are in compliance with payer requirements, and regulatory guidelines. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Knowledge, Skills, Education, & Experience Required:
Ability to communicate effectively with diverse populations
Interpersonal skills that promote teamwork
Critical thinking and problem-solving skills
Knowledge of and ability to utilize internal and external resources
Flexibility in prioritization and effective organizational skills
Ability to multitask and function in a stressful, fast-paced environment
Professional presentation and decorum aligned with environment in which they are situated
Excellent customer service and verbal and written communication skills
Knowledge of medical terminology
Knowledge of Microsoft Office (Word, Excel and Power Point)
Recent hospital experience (preferred)
Associate’s degree in a healthcare-related field (preferred)

Licensure, Certification, or Registration Required:
N/A

Job Responsibilities:
Demonstrates through behavior Florida Hospital’s Core Values of Integrity, Compassion, Balance, Excellence, Stewardship and Teamwork as outlined in the organization’s Performance Excellence Program

Implements patient discharge plans prepared by RN Care Manager and/or Social Worker team members
Assists Care Managers by performing a variety of tasks as required. These may include but are not limited to:
Checking for nursing home, rehab, adult foster care and other facility vacancies/placement
Photocopying and faxing appropriate information to above facilities to help facilitate placement as requested by RN Care Managers and/or Social Workers
Makes referrals for community agencies
Makes home care referrals, ensuring forms are completed correctly and compliantly
Explores availability and updating of community resources
Assists patients and/or their families/caregivers with concrete needs such as transportation, emergency medications, medical equipment, etc.
Assists patients post discharge who have questions related to discharge plan implementation
Contacts third-party payers to obtain and/or confirm authorization for services and communicates necessary related clinical information, when required.
Assists Care Manager/Care Coordination department in collecting data related to patient-care outcomes and auditing data for accuracy.
Prepares documents and reports required data for clinical reviews and discharge plans for third-party payers and other internal and/or external groups.
Copies, scans, files, and distributes documents.
Documents activities and progress in medical charts per defined policy and procedures, computer billing/utilization systems, care coordination documentation system, or in other ways as directed.
Inputs clinical information, and discharge planning details into the medical record.
Coordinates appointments with physicians, testing and other services when appropriate. Schedules outpatient follow-up appointments, procedures, and therapies as justified by physician order.
Provides verbal and written confirmation of appointments to patients/families. Documents the patients’/families’ agreement and understanding of schedule. Faxes appointment confirmations to the appropriate community provider.
Keeps RN Care Manager, Social Worker and/or other members of clinical team informed of issues or delays impacting a timely discharge, or post-discharge scheduling.
Issues and documents Medicare or other communication provided to patient/families (e.g., IML for Medicare beneficiaries) as needed.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Care Management Assistant opportunity with Florida Hospital Orlando and apply online today.

Job Keywords:
Care Management Assistant, Customer Service, Orlando

Position Location: Orlando
Job: Administrative / Business Support
Organization: Florida Hospital
Primary Location: US-FL-Orlando
Schedule: Full-time
Shift: Day
Job Level: Staff / Associate
Education Level: None
Travel: No
Job Posting: Aug 13, 2018, 10:49:59 AM