About the role
Job Summary: The Case Management Coordinator Inpatient PRN conveys the purpose and services of the care management programs to the user population. This job provides basic health information, collects data and performs clerical duties that support both the Nurse Case Manager and Social Worker.
The Case Management Coordinator Inpatient PRN conveys the purpose and services of the care management programs to the user population. This job provides basic health information, collects data and performs clerical duties that support both the Nurse Case Manager and Social Worker. The Case Management Coordinator Inpatient PRN also works with the health care team in support of care management goals, care transitions and health literacy to optimize patient care.
Essential Job Functions & Accountabilities: Screens referred patients for additional services provided by the Inpatient Case Management Department. Supports patients in accessing health related services, including but not limited to, obtaining and ensuring appropriate use of post discharge services and facilities, and overcoming barriers to obtaining needed medical care and social services. Establishes trusting relationships with patients and their families while providing general support and encouragement.
Uses electronic resources and registries in collecting, reporting, gathering and documenting data for the case management process. Conducts provider searches for hard to place patients; contacts insurance companies to identify in-network providers, when required. Schedules post discharge patient appointments; follow-up on referrals until a post discharge provider has accepted the patient.
Assists department staff in the care transitions and discharge planning process; coordinates communication and referrals to post discharge providers including, but not limited to Home Health, Hospice, Skilled Nursing Facilities, Long-Term Acute Care facilities, and Assisted Living facilities. Assists with coordinating the applications for Medicaid, JPS Connections, Health Insurance Exchange and other types of assistance.
Serves as a point of contact by phone and in person for patients receiving case management and social work services and others for follow-up activities. Performs face-to-face contacts with the patient hospital, or emergency department as needed. Schedules post discharge follow up and general well visit appointments, determines appropriate care management services, and performs intake screening and general care coordination activities.
Performs a range of non-clinical case management functions including but not limited to outreach, social support, resource linages, interpretation/translation, transportation coordination and medication co pay assistance coordination. Performs non-clinical case management functions related to utilization review services. Assists with the insurance certification process to ensure payors receive the required clinical information in order to certify payment for hospital visits.
Identifies patients with limited literacy levels and assists with completing complex health forms, locating and linking providers and services. Provides patients with appropriate materials to supplement basic health education and encourages patients to be active and engaged in their health and wellness. Conducts transitional care visits with Nurse Case Manager and/or Social Worker to prepare the patient for a successful transition back into the community with discharge access to primary care.
Identifies need for advance directive assistance and reports finding to Inpatient Case Manager. Ensures compliance with State and Federal regulatory requirements including the delivery of the Care Management System Important Message from Medicaid and Patient Choice. May act as preceptor for newly hired Case Management Coordinators, assist with quality improvement activities, and participate in special case management projects.