ASST CASE MANAGEMENT

Division: Care Administration Companies

FTE: 1.00
Full Time
Shift: Days

Place Abstract:
Below the supervision of division Director or designee, help in offering case administration providers; help in some facets of the admissions and discharge course of to facilitate easy and well timed admission and discharge and acceptable referral to accessible sources. Guarantee adherence to Hospitals and departmental insurance policies and procedures. Affected person care project might embody neonate, pediatric, adolescent, grownup and geriatric age teams.

Detailed duties:
* ARRANGEMENTS – Organize meals, lodging and transportation for households as requested
* COORDINATION – Help in coordinating medical gear and provides for dwelling use, speaking with acceptable members of remedy group, household and affected person as directed
* COORDINATION – Help in making preparations for dwelling well being providers as directed
* COMMUNICATION – Talk plans for gear, transportation, referrals, and so on., as acceptable, to members of the remedy group; carry out follow-up communication with sufferers or acceptable designee as wanted
* COMMUNICATION – Talk with acceptable employees, sufferers or designees and out of doors companies concerning any crucial monetary data, as directed
* TRANSFER – Help with coordinating switch of sufferers to acceptable settings, i.e., acute care, psychiatric inpatient, expert nursing facility, or different locations
* CONFERENCES – Coordinate affected person care conferences, as requested
* COMMUNICATION – Take part in affected person care group conferences to evaluate follow-up actions and affected person discharge planning
* CORRESPONDENCE – Formulate, copy, fax and distribute correspondence and medical data, as directed
* DATA – Acquire and enter required knowledge; put together studies as directed
* INQUIRIES – Reply telephones, get hold of acceptable data, reply to requests and switch calls; retrieve messages, take data and route, as acceptable
* PATIENT ASSISTANCE – Help affected person or designee in finishing affected person help kinds/documentation, and preserve data
* PRIOR AUTHORIZATION – Confirm protection eligibility on sufferers for outdoor providers as wanted
* FINANCIAL ASSISTANCE – Coordinate and acquire lacking data associated to denials as a result of lack of notification authorization
* RECORDS – Set up, preserve, course of, and replace recordsdata, data, and/or different paperwork
* REFERRALS – Keep sources and reference supplies; direct referrals to neighborhood companies, as wanted
* DEVELOPMENT – Improve skilled progress and improvement by way of participation in academic applications, studying present literature, attending in-services, conferences and workshops
* PATIENT SAFETY 1 – Observe affected person safety-related insurance policies, procedures and protocols
* PATIENT SAFETY 2 – Show proactive method to affected person security by looking for alternatives to enhance affected person security by way of questioning of present insurance policies and processes
* PATIENT SAFETY 3 – Determine and report/right environmental circumstances and/or conditions that will put a affected person at undue threat
* PATIENT SAFETY 4 – Report potential or precise affected person security issues, medical errors and/or close to misses in a well timed method
* PATIENT SAFETY 5 – Encourage sufferers to actively take part in their very own care by asking questions and reporting remedy or conditions that they do not perceive or might “not appear proper”

{Qualifications}

Training:
Important:
* Excessive Faculty or GED Equal
Nonessential:
* Affiliate Diploma
* Bachelor’s Diploma
Training specialization:
Nonessential:
* Associated Self-discipline
* Associated Self-discipline

Expertise:
Important:
No minimal expertise required

Nonessential:
Medical terminology information
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Bilingual English/Vietnamese
Case administration expertise
Utilization administration expertise
2 years straight associated expertise

Credentials:
Important:
* Not Relevant/Not Required
* CPR for Healthcare/BLS Prov or Prof Rescuers w/in 30 days

Bodily Circumstances:
Gentle Work: Exerting as much as 20 kilos of drive sometimes, and/or as much as 10 kilos of drive regularly, and/or a negligible quantity of drive continually (Continuously: exercise or situation exists 2/3 or extra of the time) to maneuver objects. Bodily demand necessities are in extra of these for Sedentary Work. Might require strolling or standing to a major diploma or requires sitting more often than not however entails pushing and/or pulling of arm or leg controls; and/or might require working at a manufacturing fee tempo entailing the fixed pushing and/or pulling of supplies though the load of supplies is negligible.

Working circumstances:
Important:
* Minor Hazard – bodily dangers, dust, mud, fumes, noise