Case Management Assistant:
Centura Health

121480-en_US
Centura Health
Denver Colorado
Healthcare
Description

Located in central Denver’s historic Washington Park residential neighborhood, associates at Porter Adventist Hospital enjoy beautiful surroundings, leading technology, outstanding leadership and easy access to everything great central Denver has to offer.   As a full-service Magnet® designated, 368-bed acute-care referral center specializing in behavioral health, cancer care, joint replacement, spinal care, advanced robotic surgery and organ transplantation, Porter Adventist Hospital treats some of the region’s most complex medical cases and surgery patients.  Our Heart and Vascular Institute is the first and only program in Colorado to receive full Heart Failure Accreditation status from the Society of Cardiovascular Patient Care. We have also received numerous awards and honors including: The Healthgrades Patient Safety Excellence Award (2014); top 50th orthopedic program ranking by U.S. News & World Report with high performing honors in eight specialties (2014); an “A” rating from the Leapfrog Group for Patient Safety (2014), as well as many others.  The Porter tradition of blending science and spirit began more than 75 years ago by Denver businessman Henry Porter with his generous donation after he experienced care at a Seventh Day Adventist Facility in CA and sought to bring that same philosophy of care to Denver. If you are ready for a career where the work you do truly transcends the walls of a hospital, we invite you to learn more at: http://www.porterhospital.org/



 



Job Description/Job Posting ID: 121480



Recruiter Contact: Mikala Ford mikalaford@centura.org



Clinic/Department: 8675 PAH CASE MANAGEMENT 



Hospital: PORTER ADVENTIST HOSPITAL 



Schedule: Full Time



Shift: Days



Position Summary



Under general supervision, works independently and as a member of the Case Management team to optimize patients’ progress through the continuum of care. Working in a collegial manner, helps case management develop thoughtful, effective, individualized discharge plans. 



Education Requirements 




  • High School Diploma or GED

  • Preferred Education:  Associate’s degree in human services,  gerontology, counseling or similar field and demonstrable experience in quality assurance, utilization review,  or care management



Work Experience 




  • Minimum 1-2 years of experience in hospital setting, acute care, or insurance case management 

  • Demonstrable understanding of managed care, UR, risk management and/or discharge planning 

  • Demonstrable knowledge of medical terminology

  • Basic proficiency using Microsoft Office applications and troubleshooting computer problems

  • Adept in using basic office equipment (e.g. computers, photocopiers, FAX machines, pagers, etc.) Must have strong organizational skills and proven history for successfully managing multiple tasks with frequent interruptions 

  • Knowledge of Milliman patient criteria helpful



License/Certifications 




  • N/A



Position Duties 



The Case Manager Assistant works as part of the Case Management team in providing quality, patient centric continuum of care in a cost-effective manner.



Supports Case Managers in advocating on behalf of patients and in working with hospital administrators and physicians to determine the best course of action for patients’ care.  



•             Facilitates consistent communication with patients and their caregivers regarding resources available to patients.



•             Responds promptly to phone inquiries



•             Helps investigate patients’ insurance coverage and benefits 



•             Identifies gaps or barriers in treatment plans, working closely with the Case Management Manager and/or Director on non-routine, difficult or complex cases 



•             Considering patients’ and caregivers’ specific needs and input, helps coordinate needed postdischarge services and referrals to outside sources



•             With clear direction from the Case Management manager, provides educational materials/resources to patients and their caregivers on disease management 



•             Works to ensure that patients, families, case management and nursing staff are notified of final discharge times and transportation arrangements 



QUALITY-20 %



Complies with established hospital, division and department policies, procedures and standards which include, but are not limited to, safety, infection control, use of information systems and confidentiality



SERVICE -20%



•             Accurately and timely adheres to the automated protocols for “next level of care” referrals



•             Ensures patients receive and sign, as necessary, all regulatory letters in a timely manner



•             Documents patient information in an accurate, timely fashion; ensures patient charts are complete, current and correct 



•             Demonstrates strong verbal, writing and organizational skills



•             Responsible for Case Management clerical duties including, but not limited to, photocopying, faxing, mailing, filing and charting 



COST/FINANCIAL-20 %



•             Adheres to department budget guidelines and expense reporting requirements



•             Participates in arranging discharges and pre-scheduling discharges and transportation in timely manner



PEOPLE -20%



•             Demonstrates strong interpersonal skills to effectively work with Centura staff, patients and their families, external contacts, and other business partners at all socio-economic and organizational levels



•             Promotes and strives to maintain a professional, team-oriented, service-conscious environment



•             Consistently demonstrates strong ethics and sound judgment; maintains the privacy and confidentiality of patient information



•             Serves as a patient advocate



•             Anticipates the needs of providers, staff, patient and family



GROWTH/DEVELOPMENT -10 %



•             Demonstrates solid grasp of applicable subject areas and ability to learn relevant terminology, policies, processes, regulations and applicable laws within assigned subject area



•             Stays abreast of changes and opportunities within the healthcare industry by monitoring referral sites, participating in webinars, workshops/seminars and taking advantage of other informative resources



•             Flexible, open-minded and adaptable to change



COMMUNITY-10 %



•             Represents SAH in a professional manner at all community events and when interfacing with all  external business partners



•             Stays abreast of state, county and local resources to help case managers effectively utilize them in developing patient care plans



*This job description is not intended to be an exhaustive list of all duties.  Employee may  perform other related duties as assigned.



PHYSICAL REQUIREMENTS



Sedentary work -(prolonged periods of sitting and exert up to  10lbs force  occasionally




 


Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V. 

Basic Qualifications
Requirement