Cone Health
Overview
The Care Management Assistant is responsible for informational accuracy in relation to patients and insurance. Working under the leadership of a Social Worker or Registered Nurse (RN), this position is responsible for collecting and validating accurate patient demographic and insurance information, obtaining pre-certification/authorization when required, and documenting all necessary information. This position is also responsible for activities that facilitate reimbursement and throughput of the patient stay including but not limited to: follow-up with post-acute vendors, sending patient information to community referrals, distributing and explaining patient rights related content, updating department's on-call and scheduling contacts. Essential Job Function Provides administrative support for social workers, filling out appropriate documentation and contacting patients to ease burden of tasks off of clinical staff and increase office-wide efficiency.
Maintains up-to-date calendars for appointments, deadlines and other pertinent information to keep clinical staff aware of important dates, notifying them ahead of time.
Prepares documents such as referral forms, using proper grammar and spelling to effectively communicate with other providers, both in and outside the organization.
Corresponds with patients, caregivers, insurance companies, post-acute vendors and community agencies, under the leadership of a Case Manager or Clinical Social Worker, to ensure accuracy of information.
Informs departmental leaders about potential gaps in coverage that social workers may have to note when there may be more resources needed and allowing departmental leadership to strategize on how to tackle said problem.
Performs other duties as assigned.
Education
Required: High School Diploma or equivalent Experience
Preferred: 1-2 years in Care Management Licensure/Certification/Listing #J-18808-Ljbffr
The Care Management Assistant is responsible for informational accuracy in relation to patients and insurance. Working under the leadership of a Social Worker or Registered Nurse (RN), this position is responsible for collecting and validating accurate patient demographic and insurance information, obtaining pre-certification/authorization when required, and documenting all necessary information. This position is also responsible for activities that facilitate reimbursement and throughput of the patient stay including but not limited to: follow-up with post-acute vendors, sending patient information to community referrals, distributing and explaining patient rights related content, updating department's on-call and scheduling contacts. Essential Job Function Provides administrative support for social workers, filling out appropriate documentation and contacting patients to ease burden of tasks off of clinical staff and increase office-wide efficiency.
Maintains up-to-date calendars for appointments, deadlines and other pertinent information to keep clinical staff aware of important dates, notifying them ahead of time.
Prepares documents such as referral forms, using proper grammar and spelling to effectively communicate with other providers, both in and outside the organization.
Corresponds with patients, caregivers, insurance companies, post-acute vendors and community agencies, under the leadership of a Case Manager or Clinical Social Worker, to ensure accuracy of information.
Informs departmental leaders about potential gaps in coverage that social workers may have to note when there may be more resources needed and allowing departmental leadership to strategize on how to tackle said problem.
Performs other duties as assigned.
Education
Required: High School Diploma or equivalent Experience
Preferred: 1-2 years in Care Management Licensure/Certification/Listing #J-18808-Ljbffr