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Assists case managers in post discharge provision of care which optimizes post-acute resources to reduce readmissions and provide safe/timely discharges to patient’s next level of care.
Job Responsibility:
Identify and discuss patient discharges with case management team daily and coordinate follow up appointments, outpatient appointments and/or durable medical equipment (DME) needs
Coordinate patient’s transportation to next level of care using the most appropriate and cost effective options available
Collaborate with case management coordinators house wide to ensure support/assistance for all case managers and their assigned patient caseloads
Ensure timely delivery of the Important Message from Medicare (IMM) to ensure regulatory compliance to patients on assigned units upon discharge
Collaborate with admitting and utilization teams on delivery of the Medicare Observation Notice (MOON) and the Important Message from Medicare (IMM) as needed upon admission and for all condition code 44 regulatory occurrences
Participate in creation of standard work for redundant or regulatory processes
Track and manage DME loan closets to ensure safe and timely discharges with appropriate durable medical equipment (DME) on high volume days and weekends
Upon request of case managers meet with patients to review post-acute preferences document appropriately in EPIC and submit choices to selected providers
Operates a personal computer calculator FAX machine copy machine or related office machinery in performing assigned duties
Exhibits excellence in customer service through appropriate attitude and interaction with all patients visitors and staff
Adheres to and supports team members in exhibiting TMCH values of integrity community compassion and dedication
Adheres to TMC organizational and department-specific safety confidentiality values policies and standards
Performs related duties as assigned
Requirements:
Associate degree or health care related certification preferred
Two (2) years of related healthcare experience preferred
Quality metrics and data analysis experience preferred
Ability to critically analyze data reports and develop appropriate action plans
Knowledge of patient care protocols and practices
Knowledge of general patient care practice, methods and regulations
Knowledge of patient privacy regulations
Skill in attending to patients with care and attention to needs
Skill in assisting with more complex patient care programs
Ability to complete routine reports and correspondence
Ability to listen and accurately interpret others' communication or instructions to take appropriate action
Ability to speak effectively in front of doctors, nurses, staff and the general public
Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions
Demonstrated skill in the use of computer applications and Microsoft Office products and in creating databases and spreadsheets
Ability to deal with problems involving a few concrete variables in standardized situations