group
Category
Administrative Support
business
Department
Case Management Social Services
date_range
Schedule
Full Time
schedule
Shift
Day
timer
Hours
8 Hour Shift
place
Location
Rancho Mirage, CA
info
Job #
R0252645




  • Job Objective: A brief overview of the position.



    • The position is responsible to provide clerical support to Case Managers, Social Workers and other members of the department in order to maintain efficient discharge planning processes and department operations.


  • Reports to



    • Manager, Case Management


  • Supervises



    • None


  • Ages of Patients



    • None


  • Blood Borne Pathogens



    • Minimal/ No Potential


  • Qualifications



    • Education



      • Preferred: Medical terminology and Associates Degree


    • Licensure/Certification




      • Preferred: LVN



    • Experience



      • Required: Previous work experiences in health care field, preferably in hospital or skilled nursing facility setting.


      • Preferred: Previous experience in arranging transportation or skilled nursing facility admissions or insurance verification.


  • Essential Responsibilities



    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.


    • Contacts skilled nursing facilities and Riverside County Regional Medical Center (RCRMC), Loma Linda University Hospital (LLUH) and VA Medical Center Hospital (VAH) for bed availability daily.


    • Provides daily bed availability information via email and/or verbally to Case Managers and Social Workers to facilitate the discharge planning arrangements. Documents in Midas for authorization purposes.


    • Confirms SNF acceptance and time of transfer; routinely and timely communicates this information to appropriate Case Manager by utilizing tracking forms and other mechanisms.


    • Makes transportation arrangements per direction of Case Manager and confirms transport arrangements and pick-up time; routinely communicates this information to the appropriate Case Manager in a timely manner.


    • Develops and updates bed search tracking form for SNF, acute rehab and acute hospital transfers.


    • Utilizes tracking forms to maintain documentation of status of patient placement and transportation including calls, faxes and other activities to accomplish discharge.


    • Performs phone calls and faxes information to complete Medi-Cal 10-bed call list and other bed searches; documents bed search information on TARs and in Midas.


    • Communicates results of Medi-Cal 10-bed search and other bed searches to Case Managers; informs Case Managers of barriers to acceptance and potential accepting facilities in order for Case Manager to communicate to patient/family and facility as needed.


    • Is proactive in identifying cases that may require chart copying; logs patient’s name on chart copy log; confirms need to copy medical record with Case Manager.


    • Assists in preparing patient transfer packets for SNF transfers; prepares patient records for transfer by copying medical records, printing reports from computer, collating required information and preparing transfer envelope.


    • Assists CM and UM Secretaries in taking-off and communicating voice mail messages and in processing Case Manager and Social Services referrals.


    • Communicates directly with Manager and/or Case Management when issues or needs for process changes are identified.


    • Asks for help when necessary and willingly assists co-workers when necessary to promote efficiency and to provide quality service.


    • Assists Case Manager and Social Worker staff in retrieving, referring, and faxing of discharge referrals to outside agencies (skilled nursing, sub acute and acute care facilities, SNFs, home health agencies, DME companies and other providers).


    • Maintains patient confidentiality.


    • Determines priority in workload; is able to complete a typical day’s assigned workload within the schedules shift.


    • Other duties as assigned.


    • Assures seamless transition for the patient/family across the continuum of care by assuring complete accurate communication prior to transition.


    • Maintains current knowledge and awareness of payor reimbursement practices and regulations impacting the patient’s plan for care and discharge plan.


    • Facilitates acquisition of appropriate insurance information and authorization prior to discharge. Ensures completion of all necessary post discharge paperwork and sends to provider as appropriate.


    • Identifies and completes necessary transitional care referrals (community resources, home health, skills nursing facility, rehab outpatient services, DME.

    • Maintains community resource list.

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