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.

UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing.

Summary :

Provides general clerical, secretarial and organizational support to the Manager of Care Management, to the departmental staff, and to the department.

Responsibilities :

1. Prioritize Daily Activities.

• Participate in daily Care Management Touchpoint -Care Managers (CM), Social Workers (SW), and Point of Entry Utilization Managers (POE UM)
• Discuss referred cases, including, patient status, barriers to discharge, payer communication, escalations and support needs
• Review insurance coverage updates on all appropriate patients, as assigned
• Regularly evaluate work list (hourly) and re-prioritize items for the day -Review patient census for each service with CM, SW, and POE UM, prioritizing communication needs -Review discharge planning priorities.

2. Assist in Facilitating Discharge Planning.

3. Assist in Utilization Management Process.

4. Complete FL2 for Long Term Care and Pre-Admission Screening and Resident Review (PASRR), as assigned.

5. Collaborates and communicates with departmental and system-wide staff, supervisory and management personnel, with various outside representatives, and patients / families to facilitate timely and effective service.

6. Responsible for the delivery of Regulatory Notices including the Medicare Important Message, Medicare Outpatient Observation Notice and the Medicare Change of Status Notice, assisting in facilitating discharge planning, and assisting in utilization management processes.

7. Performs other duties as needed.

Other Information :

Education Requirements :

Licensure / Certification Requirements :

Professional Experience Requirements :

Job Details

Legal Employer : Nash Hospitals

Entity : Nash UNC Health Care

Organization Unit : NGH Case Management

Work Type : Full Time

Standard Hours Per Week : 40.00

Work Assignment Type : Onsite

Work Schedule : Day Job

Location of Job : NASH HC

Exempt From Overtime : Exempt : No

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.