Oversees business functions on an ongoing basis. Business functions are defined as scheduling department meets, keeping and posting department meeting minutes, materials procurement, data management as directed.
Supports Director/Manager/Supervisor with special projects and maintaining department statistics
Coordinates clinical requests for reviews for all payors and maintains CPA (Cerner Patient Accounting) reports to facilitate work flow.
Supports discharge case managers in directing referrals, communicating patient information, and serving as liaison with physicians, hospital staff, and community agencies/liaisons.
Coordinate authorization/denial management communications with physician advisor, PFS, revenue management and registration.
Compile reports through Power Insight and Cerner/CPA for statistical data and reporting functions (ie: missing Medicare certifications, unsigned orders, register as orders and readmission detail).
Receive/direct telephone communications with case management department.
Coordinates and oversees the â€œImportant Message from Medicareâ€Â hospital wide.
Provide administrative support for department supervisor, manager and director, coordinating calendar/meetings, prepares letters/other communications.
Maintain case management department mail and correspondence/files.
Oversees the vendor mate process as it pertains to community liaisons.
Manage/maintain departmental equipment and supplies
Monitors employee net-learning completion, relevant covered persons, fire safety, etc for hospital compliance.
Maintains required credentials/cards (BLS, Fit testing and licensure deadlines)
Maintain department time-keeping/payroll.
Maintains the Disaster List
Oversees the department volunteers/auxiliary staff.
Serves as a liaison/representative of Case Management to other Hospital Departments.
Other duties as assigned/requested by the department director/manager.
What You Will Need:
High school graduate or equivalent
Associates Degree in a health-related field Preferred
Knowledge/experience with medical terminology.
Ability to multitask, manages time well, concise with attention to detail while maintaining a calm outward appearance..
Excellent customer service and telephone/communication skills.
Excellent computer skills with proficiency with MS-Office Suite and hospital-wide electronic systems.
Efficient time management, ability to maintain organized work environment and facilitate work flow.
Required to sit and/or stand for long periods of time.
Ability to flex work hours when necessary.
The Case Management Assistant (CMA) oversees the business functions of the department and is responsible for coordinating clinical requests for payers and assisting in the authorizations and denial management communication between Case Management and PFS. The CMA has a general working knowledge of payer specific documentation and authorization requirements. CMA assists in compiling data related to patient outcomes and auditing data for accuracy.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.