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Luminis Health · 1 day ago

Care Management Assistant

Annapolis, MD

Full-time

Onsite

Entry Level

$18/hr - $28/hr

1+ years exp

Luminis Health is a healthcare organization focused on providing comprehensive care management. The Care Management Assistant plays a crucial role in supporting patient transitions through the healthcare system by coordinating care, managing referrals, and facilitating communication among care providers.

Health CareMedicalNon Profit

Responsibilities

Assists in referral process by transmitting required patient documentation using web-based software system as requested by Care Manager or Social Worker, and verifies the facility received information. Informs Care Manager or Social Worker of authorizations and requests for additional information

Prepares, completes, and distributes facility transfer packets. Identifies missing documentation and initiates appropriate follow-up to obtain information

Arranges ambulance and wheelchair van transportation for patients to facilities or home as requested by Care Manager or Social Worker; notifies facility and unit staff of arrangements. Documents patient choice, ambulance and wheelchair van arrangements in electronic medical record

Facilitates effective exchange of information with post-acute facility liaisons, home care liaisons and DME suppliers. This includes notification of the Care Manager or Social Worker of any identified concern or delay in placement or post discharge supplies

Uses problem solving skills to avoid delays, ex. late transportation. Coordinates with the Care Manager, Social Worker or other personnel as needed

Deliver patient notification letters as needed----Notice of Observation Status, MOON, Important Message from Medicare and others. Obtains the appropriate signature and uploads into the electronic record

Assists in obtaining authorizations for transition to the next level of care (i.e., home, acute/subacute rehab facility, transportation, DME, etc.)

Provides clerical and support functions to the Care management staff members with the goal of promoting expeditious patient transfers and/or discharges

Establishes and promotes positive and collaborative working relationships with Care Managers (CM), Social Workers (SW), Utilization Review Nurses, and administrative staff to facilitate discharge planning

Assists in the administration of Care Management functions to include, but not limited to –organization of workflow, communications, links to community resources, and other duties to assist in the facilitation of discharges

Qualification

Care coordinationCare managementInsurance verificationMedical billingEffective communication

Required

Bachelor's degree plus one year of related experience, or high school diploma or equivalent and three years related work experience

Ability to communicate effectively, required

Preferred

Experience in care coordination, Care management, disease management, hospital/acute care setting, or customer service preferred

Knowledge of State and Local regulations, community resources, discharge planning, insurance verification, financial counseling, and/or medical billing a plus