Case Management Assistant

Summary

Case Management Assistant – under the direction of department leadership, coordinates, implements and monitors work flows related to regulatory requirements, addresses referrals, and provides hands‑on post‑acute planning services in conjunction with the RN Case Management Specialist and Social Service Specialist. Manages referrals and patient contact to ensure delivery of timely care and communication, keeping the RN Case Management Specialist and Social Service Specialist informed of any changes or additional needs.

Works with payors to obtain authorizations for post‑acute services. Responsible for establishing a professional and supportive “first contact” for patients requiring Case Management services while in the hospital or emergency department. Handles a high volume of referrals from multiple sources, manages screening, and is proficient in EPIC and multiple other proprietary systems to obtain screening information.

• Coordinate and implement work flows related to regulatory requirements.
• Address referrals and provide hands‑on post‑acute planning services in conjunction with RN and Social Service specialists.
• Manage referrals and patient contact to ensure timely delivery of care and communication.
• Work with payors to obtain authorizations for post‑acute services.
• Establish a professional and supportive “first contact” for patients requiring Case Management services while in the hospital or emergency department.
• Handle a high volume of referrals from multiple sources and manage screening.

• Completed a medical assistant program (Medical Assistant certification required).
• Associate’s or Bachelor’s Degree in a healthcare related field preferred.
• 3 to 5 years of related healthcare experience.
• Management or program management experience preferred.
• Experience in medical setting with working knowledge of case management systems.