Case Management Assistant

Vibra Healthcare • Folsom, CA

359d

About The Position

Vibra Hospital of Sacramento is seeking a Case Management Assistant to join our team. Located in Folsom, CA, our 58 bed Critical Care Hospital provides acute care services to patients recovering from serious illnesses or injuries. Our patients often require additional critical care services for medically complex conditions such as trauma, infectious diseases, wound healing, cardiovascular disease, stroke, amputation, and ventilator weaning. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families.

Requirements

• High school diploma or equivalent required.
• Knowledge of medical terminology required.
• Minimum one (1) year of experience as an Administrative Assistant or higher role required.
• Previous experience in a health care or health insurance setting required.
• Significant computer/data gathering and processing experience required.

Nice To Haves

• One (1) year of college preferred.
• Acute Care Hospital experience preferred.
• Experience working with Third Party Payor's preferred.
• Knowledge of reimbursement programs, case management, and discharge planning preferred.
• Knowledge of federal and state regulatory standards, and Policies and Procedures.

Responsibilities

• Provides clerical and administrative support to the Case Management team to facilitate care coordination, discharge planning, and utilization review.
• Tracks dates that concurrent reviews are due to third party payors.
• Obtains updated clinical information from the EMR/Chart or the managed care forms filled out by case managers, and faxes to third party payors.
• Obtains fax confirmation and makes follow up calls to verify concurrent review information was received.
• Obtains authorizations and documents these with accuracy in the HMS financial system.
• Assists with issuing the Medicare Important Message after receiving training.
• Assists with initial post discharge referrals and makes follow up calls to providers regarding referrals and acceptance.
• Assists with arrangement of post-acute care services such as Home Health, Durable Medical Equipment, Outpatient Dialysis, Outpatient Infusion and Wound Care Centers, and post discharge transportation.
• Assists with preparation and completeness of discharge packets that accompany patients to Skilled Nursing, Subacute, and Acute Rehab Facilities.
• Assists in arranging post discharge physician appointments with primary care physician and specialist.
• Conducts post discharge calls to patients and providers and refers to appropriate disciplines if additional follow up is needed.

Benefits

• Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets
• FREE prescription plans
• Dental and Vision coverage
• Life insurance
• Disability Benefits
• Employee Assistance Plan
• Flex Spending plans, 401K matching
• Additional Critical Illness, Accident, and Hospital plans
• Company discounts for mobile phone service, electronics, cell phones, clothing, etc
• Pet Insurance
• Group legal - provides legal assistance with personal legal matters
• Tuition and continuing education reimbursement
• Work life balance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees