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Case Management Associate, PRN

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Emory UniversityLithonia, Georgia
  • JOB DESCRIPTION: Supports the mission of the Division of Care Coordination which is to provide safe, effective and timely transitions of care.
  • Assists the social workers with discharge planning tasks, referral management and all other clerical tasks necessary to obtain post-acute care services for patients.
  • Communicates with social workers to obtain necessary information to effect timely discharges.
  • Assists with arrangement of post-acute care services which can include: Home Health, Durable Medical Equipment, Sub Acute Rehab, Hospice Outpatient Dialysis, and post discharge transportation.
  • Updates all referral information frequently to ensure provider awareness of patient clinical status.
  • Collaborates with insurance case managers to request authorizations for post-acute services.
  • Assists with preparation of discharge packets that accompany patients to Skilled Nursing, Subacute, and Acute Rehab Facilities.
  • Assists in arranging post discharge calls to patients and providers and refers or escalate to appropriate disciplines if additional follow up is needed.
  • CMS Regulatory requirements include delivery of Medicare Outpatient Observation Notice (MOON) and the Medicare Important Message IMM).
  • In addition, Case Management Associate should be comfortable directly interfacing with physicians, nurses, other members of the care team as well as patient/families.
  • Must be able to work independently and execute good judgment and critical thinking skills while adhering to Department guidelines, policies and procedures.
  • MINIMUM QUALIFICATIONS: High School diploma or equivalent is required.
  • Associate or Bachelor's degree is preferred.
  • At least two years experience in a healthcare setting is required.
  • Knowledge of computer applications necessary.
  • Preference will be given to those with prior experience in discharge planning, utilization review or financial services.
  • Proficiency in medical terminology is preferred.
  • Knowledge of post-acute resources such as Nursing Home, Acute Rehab, Home Health, Durable Medical Equipment, etc.
  • Good communication skills with focus on excellent customer service.
  • Skill and ability to handle multiple priorities and deadlines.
  • Ability to work as a member of a team.
  • Skill and ability in Microsoft office applications.
  • Ability to take initiative and follow through.
  • PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
  • ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks.
  • Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste.
  • Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required.
  • Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

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