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Care Management Assistant - AdventHealth - Orlando
Location Address:601 E Rollins St, Orlando, FL 32803
Top Reasons to work at AdventHealth - Orlando
Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
serves as the major tertiary facility for much of the Southeast, the Caribbean and South America
AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year
Work Hours/Shift: Monday - Friday, 8:30am - 5:00pm
You Will Be Responsible For:
Demonstrates, through behavior, AdventHealth’s core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork
·Implements patient discharge plans prepared by RN Care Manager and/or Social Worker team members.
·Assists Care Managers by performing a variety of tasks as required. These may include but are not limited to:
üChecking for nursing home, rehab, adult foster care and other facility vacancies/placement
üPhotocopying and faxing appropriate information to above facilities to help facilitate placement as requested by RN Care Managers and/or Social Workers
üMakes referrals for community agencies
üMakes home care referrals, ensuring forms are completed correctly and compliantly
üExplores availability and updating of community resources
·Assists patients and/or their families/caregivers with concrete needs such as transportation, emergency medications, medical equipment, etc.
·Assists patients post discharge who have questions related to discharge plan implementation
·Contacts third-party payers to obtain and/or confirm authorization for services and communicates necessary related clinical information, when required.
·Assists Care Manager/Care Coordination department in collecting data related to patient-care outcomes and auditing data for accuracy.
What You Will Need:
Ability to communicate effectively with diverse populations
Interpersonal skills that promote teamwork
Critical thinking and problem-solving skills
Knowledge of and ability to utilize internal and external resources
Flexibility in prioritization and effective organizational skills
Ability to multitask and function in a stressful, fast-paced environment
Professional presentation and decorum aligned with environment in which they are situated
Excellent customer service and verbal and written communication skills
Knowledge of medical terminology
Knowledge of Microsoft Office (Word, Excel and Power Point)
Recent hospital experience
Associate degree in a healthcare-related field
The Care Management Assistant (CMA) is responsible for implementing patient discharge plans as directed, assisting with coordination of clinical data collection, and ensuring third-party payer notifications and authorizations are secured and documented as a support function for Care Management and Care Coordination staff. Interacts with representatives from insurance companies, managed care organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies as required. Responsible for assisting in coordinating care and services for assigned patients under the direction of the RN Care Manager and/or Social Worker and in collaboration with the patient/family. The CMA establishes a general working knowledge of payer-specific documentation and authorization requirements, and regulatory requirements regarding the clinical review process, provision of services, and post discharge services. Ensures discharge arrangements are in compliance with payer requirements, and regulatory guidelines. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
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.