Care Management Assistant

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary :

The Care Management Assistant position supports care managers, utilization managers, and social workers by performing a variety of responsibilities related to patient care coordination and management. The primary objective of the Care Management Assistant is to assist in the coordination and delivery of patient care services, ensuring smooth and efficient operations within the healthcare team.

Responsibilities :

1. Huddles : The Care Management Assistant participates in regular huddles with the care management team to discuss patient cases, care plans, and address any challenges or concerns.

2. Prioritized work : The Care Management Assistant helps prioritize the workload by assessing the urgency and importance of various tasks. They collaborate with the care management team to ensure that high-priority tasks are addressed promptly.

3. Delegated tasks assigned by clinician : The Care Management Assistant assists in the delegation of tasks assigned by the clinician, utilization manager, social worker, or care manager. They work closely with the healthcare team to ensure that delegated tasks are properly completed. Delegated tasks may include payer communication to facilitate optimal reimbursement and timely approvals for necessary care and services.

4. Patient care transitions : The Care Management Assistant conducts activities, as assigned, to ensure patients are engaged in their care and have the necessary resources and support. They may also assist in scheduling appointments and coordinating transportation as needed.

5. Assists patients in navigating the health care system : The Care Management Assistant provides guidance and support to patients in navigating the complexities of the health care system. This includes explaining health insurance coverage, helping patients find appropriate healthcare providers and services, and assisting in the coordination of care between different healthcare providers and facilities.

6. Resource Procurement : The Care Management Assistant assists in the procurement of services and / or equipment relevant to their assigned department's protocols.

7. Facilitates documentation for care transitions : The Care Management Assistant facilitates the documentation required for care transitions, such as transcribing forms like FL-2 (Level of Care Determination) and PASRR (Preadmission Screening and Resident Review). They assist with necessary paperwork in an accurate and timely manner.

8. Communication & Escalations per guidelines : The Care Management Assistant maintains effective communication within the care management team and escalates any concerns or issues according to established guidelines. They act as a liaison between patients, clinicians, and other healthcare professionals to facilitate effective communication and resolution of any care-related challenges.

Other Information

Other information :

Education Requirements :

• High School diploma or GED

Licensure / Certification Requirements :

Professional Experience Requirements :

Knowledge / Skills / and Abilities Requirements :

Job Details

Legal Employer : NCHEALTH

Entity : UNC REX Healthcare

Organization Unit : Rex Case Management Services

Work Type : Full Time

Standard Hours Per Week : 40.00

Salary Range : $19.59 - $27.84 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type : Onsite

Work Schedule : Day Job

Location of Job : US : NC : Raleigh

Exempt From Overtime : Exempt : No

This position is employed by NC Health (Rex Healthcare, Inc., d / b / a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and / or to apply for a career opportunity.