Job Description:
This is an as needed position (PRN) Monday through Friday 0800 - 1630. No holidays, weekends. Hybrid and office location Employee Service CenterScope
Assigned to a specific care management operational area (i.e. acute care services, payer, community-based service(s), home care) supporting one or more patient populations and the care management team. Duties may vary by setting. Generally works under limited supervision, while acting on own initiative and direction. May orient, educate, or supervise other clerical employees.
Job Essentials
1. Serves as the primary contact with nurse coordinators, receiving and prioritizing requests and sending clinical information for patient care coordination.
2. Interacts with physicians, physician's office staff, and ancillary departments as needed in the interest of the patient to correspond with referrals, appointments, and other transitory tasks.
3. Performs a variety of specific clerical tasks to support care coordination services (i.e. prepares and prints reports; prioritizes and schedules appointments; distributes and/or communicates requests; retrieves phone; fax, email, and other messages and/or mail; scans and copies documents as needed).
Supports a compliant patient choice process by ensuring online provider lists are current in all systems, distributes provider list to patients/families as instructed, prior to patient choice consult performed by the care manager/social worker.
Provides support for transition planning (i.e. prepares transfer packets for transition to post-acute/community-based facility or services; ensures resources and documents are routinely updated in the Integrated Care Management website; arranges transportation, confirms arrangements; communicates with the patient/family and next service providers).
Delivers routine regulatory notices to patients in the required timeframe (i.e. 'Follow-Up Important Message from Medicare' at least one day before the patient's expected discharge date).
4. Consistently documents all communication, actions, and information.
5. Promptly reports issues and concerns to the departmental chain-of-command.
6. Assists with special programs including data collection for process improvement projects.