Case Management Assistant

General Summary: This role supports the Case Management Nurses in various tasks, including monitoring patients on the hospital census, scheduling patient appointments for hospital follow-ups and the High-Risk Team, and facilitating the coordination of authorized Referral Services.

Supervisory Responsibilities: This position has no supervisory responsibilities.

General Requirements: All duties performed will be done accurately and in a timely manner.

1. Develop and maintain supportive, productive, and effective relationships with external and internal partners.
2. Must have excellent written and verbal communication skills.
3. Strong attention to detail and exceptional organizational skills.

Essential Job Responsibilities:

• Utilizes multiple sources to compose an accurate daily Hospital Census capturing all Secure Horizon / Evercare patients in the hospital, SNF, outpatient surgery facilities.
• Distributes census per protocol to appropriate physician and staff.
• Based on hospital discharges; contacts patients / families to get them scheduled for timely Hospital Follow-up appointments.
• Communicates patient concerns promptly to the Case Manager nurses for attention and follow-up.
• Schedules patients to the High-Risk Team of providers for appropriate visit / care based on HRT audit.
• Assists in tracking High Risk patients and completion of audit plan.
• Receives inbound calls to assist patients with health plans or care related issues.
• Assists patients with information about community resources available to support their healthcare/social need.
• Arrange transportation for patients to/from health care visits.
• Assists with producing letters, faxing documents and mail outs (certified and other).
• Maintains strictest member and company confidentiality.

Work Environment: Depending upon the area assigned may be 100% clinical setting or office setting in a clinic environment. Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.

Mental / Physical Requirements: Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to 40 lbs. without assistance. Close vision and ability to adjust focus. Must be able to work efficiently under pressure.

Additional Information: Gonzaba Medical Group is seeking team members who contribute as A-Players, demonstrate a strong work ethic, are committed to the culture and our core values.

Other Duties As Assigned: The above job description is not intended to be an all-inclusive list of duties and standards of the position.  Team members will follow any other instructions, and perform any other related duties, as assigned by their supervisor.  Responsibilities, knowledge, skills, abilities, and work environments may change as needs evolve.

Education and Training: Minimum high school education or equivalent required.

Experience: Experience in a clinic, doctor’s office or hospital with a minimum of one-year experience required. 

Other Requirements: Computer Skills: Skilled in use of computer/EMR systems. Knowledge of Word processing software, spreadsheet software, Internet, and database software.