UNM Sandoval Regional Medical Center · 3 hours ago
CASE MANAGEMENT ASSISTANT
UNM Sandoval Regional Medical Center is seeking a Case Management Assistant to support the case management services under the supervision of the department director. The role involves coordinating patient admissions and discharges, facilitating communication among treatment teams, and assisting patients with necessary resources and documentation.
Responsibilities
ARRANGEMENTS - Arrange meals, lodging and transportation for families as requested
COORDINATION - Assist in coordinating medical equipment and supplies for home use, communicating with appropriate members of treatment team, family and patient as directed
COORDINATION - Assist in making arrangements for home health services as directed
COMMUNICATION - Communicate plans for equipment, transportation, referrals, etc., as appropriate, to members of the treatment team; perform follow-up communication with patients or appropriate designee as needed
COMMUNICATION - Communicate with appropriate staff, patients or designees and outside agencies regarding any necessary financial information, as directed
TRANSFER - Assist with coordinating transfer of patients to appropriate settings, i.e., acute care, psychiatric inpatient, skilled nursing facility, or other destinations
CONFERENCES - Coordinate patient care conferences, as requested
COMMUNICATION - Participate in patient care team meetings to review follow-up actions and patient discharge planning
CORRESPONDENCE - Formulate, copy, fax and distribute correspondence and medical records, as directed
DATA - Collect and enter required data; prepare reports as directed
INQUIRIES - Answer phones, obtain appropriate information, respond to requests and transfer calls; retrieve messages, take information and route, as appropriate
PATIENT ASSISTANCE - Assist patient or designee in completing patient assistance forms/documentation, and maintain records
PRIOR AUTHORIZATION - Verify coverage eligibility on patients for outside services as needed
FINANCIAL ASSISTANCE - Coordinate and obtain missing information related to denials due to the lack of notification authorization
RECORDS - Establish, maintain, process, and update files, records, and/or other documents
REFERRALS - Maintain resources and reference materials; direct referrals to community agencies, as needed
DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops
PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols
PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes
PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk
PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner
PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right"
Qualification
Required
High School or GED Equivalent
Medical terminology knowledge
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Bilingual English/Vietnamese
Case management experience
Utilization management experience
2 years directly related experience
Preferred
Associate Degree
Bachelor's Degree
Education specialization in Related Discipline
Company
UNM Sandoval Regional Medical Center
At UNM Sandoval Regional Medical Center (SRMC), you benefit from the personal attention of a community hospital and the expertise and resources of an academic health care facility.