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Basic Function: The Case Management Associate’s primary function is to provide administrative support to the Case Management Department. Responsibilities include maintaining case files, updating referral information, and assisting with transitioning patients across the healthcare continuum. Requirements: Graduation from an accredited LPN Program, with current NYS licensure. Prior human services experience preferred. Organized, knowledge of Excel, Word, and other window's based software, excellent communication skills, able to work well on a multidisciplinary team and excellent time management skills. Knowledge of privacy laws and patient confidentiality. Responsibilities: • Communicate with Case Management Team; Provides clerical support to the department.Meets with Case Management & Social Work Services team daily and prioritizes items for the day. Produces standardized reports timely. Maintains accurate, up-to-date documentation in the departmental records. Sets priorities and demonstrates a strong sense of urgency. Creates, organizes, and maintains departmental files and forms. Appropriately schedules meetings, taking into consideration the subject, urgency and time needed. Prioritizes and arranges details of conferences/meetings for department members. Other duties as defined. • Discharge Planning Activities; Contacts referral agencies to make post discharge arrangements for patients. Assists Case Manager or Social Worker by offering choice of providers. Notifies designated facilities of need for admission and verifies bed availability. Updates facilities of patient’s discharge condition and final discharge plans. Assists with ordering durable medical equipment. Prints/copies sections of the chart to fax or send to accepting agencies/facilities to ensure continuation of patient’s treatment plan. Arranges transportation as directed by the Case Manager or Social Worker. Demonstrates knowledge of Discharge Planning resources available in the area. Documents discharge planning activities in the chart. Assists Case Manager with medication prior authorizations. Provides Medicare Important Message to Medicare beneficiaries per CMS Conditions of Participation at the direction of the Case Manager. • Utilization Management Activities; Collaborates with Case Managers and other team members for optimal Utilization Management information throughout the continuum. Maintains relationships with payers and communicates confidential information per policy. Notifies Case Manager of any potential delays of moving the patient through the continuum. Maintains accurate, up-to-date documentation in the medical record. Documents Utilization Management activities in MIDAS per policy. Prints/copies the chart to fax or send for insurance denials or quality improvement organization appeals. • Denial Management Activities; Assists Denial Management staff with clerical support. Performs audit activities under the supervision of the Case Management Specialist and the Director of Case Management and Social Work Services.