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Position Summary:

Responsible for providing assistance to the RN and SW Care Managers in the coordination of discharge and transition plans, as well as, performing

clerical functions to ensure the efficient operation of the ICM department.

Essential Functions and Responsibilities** **as Assigned** **:

1. Assists RN and SW Care Managers with the referral process by collecting and distributing informational brochures/pamphlets to the team that enhance patient/family choice of providers, agencies and other professional health care services.

2. Assists with the coordination post discharge placement and services by making referrals, processing, organizing and obtaining insurance verification and/or prior authorization from insurance companies for discharge arrangements.

3. Assists with contacting community resources to coordinate discharged transition plans while using professional tact and diplomacy skills between patients, colleagues and community.

4. Assists in maintaining hospital compliance by providing patients with Important Message from Medicare (IMM) and Medicare Outpatient Observation Notice (MOON) forms per Centers for Medicare and Medicaid Services (CMS) guidelines.

5. Communicates pertinent documentation to nursing and homecare facilities to expedite patient discharges as necessary.

6.

Attends meetings and prepares agendas and minutes.

7.

Handles incoming and outgoing office correspondence; answers and directs department phone calls as needed.

8.

Performs general office duties including faxing, copying, scanning and filing. Orders department supplies

9. Tracks and communicates bed availability at area extended care and rehab facilities.

10.

Communicates with internal and external customers to answer questions.

11.

Troubleshoots problems that arise with office equipment. Notifies leadership of unresolved issues.

12.

Performs other related duties as required and directed.

Qualifications:

_Required_

* Highschool Diploma

* Two years of clerical experience

* One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology

_Preferred:_

+ Associates degree in healthcare related field.

+ Two years of case management or utilization review experience

* Three years of recent experience doing third party payer certification

* Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

Knowledge, Skills, and Abilities:

1.

Ability to handle multiple tasks and complete work within short timeframes.

2.

Ability to understand, interpret, explain, and use data for case management activities.

3.

Ability to work with diverse teams and individuals, team player.

4.

Able to spend majority of time utilizing a computer, monitor, keyboard and mouse; ability to type.

1. Competency in applying the principles, methods, materials, and equipment necessary inproviding case management services.

6.

Demonstrated expertise in case management principles, methods, and tools and incorporating them into the daily operations of the organization.

7.

Excellent time management and organization skills.

8.

Knowledge of care delivery systems across the continuum of care including, but not limited to, trends and issues in care reimbursement, scope of alternate site care, and available community resources.

9.

Must be able to act calmly and effectively in busy/stressful environment.

10.

Must be able to work independently, and utilize problem solving techniques and critical thinking skills.

11.

Proficient with Microsoft Office (i.e., Word, Excel, Outlook, and Power Point).

12.

Strong verbal and written communication skills: ability to interact productively with leaders, peers, and customers.