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The Care Coordination Assistant role is responsible for supporting critical and time sensitive functions of the Clinical Care Coordination team, including but not limited to managing post acute care referrals, direct communication with patients/families, post acute care agencies, and other key stakeholders. The Care Coordination Assistant performs these duties with a high degree of accuracy utilizing critical thinking skills and in compliance with hospital policies, standards of practice, and Federal and State regulations.
Job Responsibility:
Collaborates with and supports the Care Coordination team, including, but not limited to the RNCC and Social Worker
Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials
Communicate and collaborate with interdisciplinary teams, patients, and family to facilitate care progression
Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care
Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance
Manage transportation referrals as requested
Comply with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral
Ensure compliance with hospital policies, standards of practice, applicable Federal or State regulations pertaining to their role, and contribute to the identification of opportunities for process improvement
Prioritize, manage, and document communications relating to insurance requests, authorizations, denials and Physician Advisor status recommendations to the appropriate licensed staff member as applicable
Requirements:
Associate (two-year) Degree in Business/Health-Related field or High School Diploma or GED with a current license/certification as a healthcare professional (Medical Assistant/Certified Nursing Assistant/Emergency Medical Technician)
Medical Terminology certificate or ability to demonstrate knowledge of medical terminology is required
Intermediate to advanced computer skills required to include Microsoft Office and/or Google Workspace applications including Word, Docs, Excel, Sheets, typing, and data entry skills
Nice to have:
At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting
Bachelor's degree or BSW
Experience supporting clinicians in demanding and fast paced patient care environments
LVN/LPN, Licensed BSW, Medical Assistant, Certified Nursing Assistant, or Emergency Medical Technician certificate
What we offer:
medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings