AdventHealth Care Management Assistant – Care Coordination Center – Maitland in Maitland, Florida
Care Management Assistant – Care Coordination Center – Maitland
AdventHealth Maitland seeks to hire a Care Management Assistant who will embrace our mission to extend the healing ministry of Christ.
Established in 1908, AdventHealth is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources. The Trickel Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel. The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.
The Care Coordination Center is a multifaceted department dedicated to providing patient-centered, relationship-driven care “beyond the four walls” of AdventHealth. The center provides concierge level support to patients, fellow AdventHealth staff members, and community partners. Our team is comprised of both clinical and non-clinical professional team members dedicated to: improving patient throughput, increasing community partnership support, and supporting initiatives to reduce readmissions. We provide service to acute care patients as well as post-discharge and outpatients. We are located at the Orlando campus, which offers an onsite cafeteria, retail stores, and free parking.
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:
Demonstrates through behavior AdventHealth’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 AdventHealth Maitland and apply online today.
Care Management Assistant, Customer Service, Maitland
Job: Administrative / Business Support
Primary Location: US-FL-Maitland
Position Location Maitland
Organization AdventHealth Central Florida
Schedule Per Diem
Shift On Call
Job Level Entry Level
Education Level None
Job Posting Jul 12, 2019, 2:20:52 PM
Req ID: 283484
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.