Care Management Assistant

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Career Development
• Whole Person Wellbeing Resources
  
  

Our promise to you: Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full time

Shift : Days

Location: 2450 North Orange Blossom Trail, Kissimmee, FL 34744

The Community You'll Be Caring For

• AdventHealth Kissimmee is a 242-bed community-focused hospital
• Conveniently located near Walt Disney World
• The team is here is dedicated to bringing mission-focused, faith-based care to residents and visitors of Osceola and Orange Counties
• AdventHealth Kissimmee has recently expanded our existing tower by 3-floors and 80-beds, including new ancillary spaces such as Inpatient Rehab, Inpatient Dialysis, Laboratory, and Imaging services.
  
  

The role you'll contribute: 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.

The Value You'll Bring To The Team

• Demonstrates, through behavior, AdventHealths core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork
• 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.
  
  

Qualifications

The expertise and experiences you'll need to succeed:

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)
  
  

Preferred

• Recent hospital experience
• Associate degree in a healthcare-related field
  
  

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

Category: Case Management

Organization: AdventHealth Kissimmee

Schedule: Full-time

Shift: 1 - Day

Req ID: 25029782

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.