Known locally as the “full-service community hospital doing some big things,” Parker Adventist Hospital, (located at E-470 and Parker Road), offers leading medical experts, the latest technology and a broad array of clinical services. Ranked among the top hospitals in the nation for patient satisfaction, Parker Hospital performs complex spine and brain surgery along with weight-loss and joint-replacement surgery. We have a Level II Trauma Center and a Birthplace with a Level IIIA NICU caring for babies born as early as 28 weeks. Opened 10 years ago and still growing, the entire team is incredibly vibrant, skilled, enthusiastic, innovative and motivated. The sense of “newness” felt at Parker is a big aspect of the culture and the high patient and employee satisfaction scores speak volumes about the care and the environment. Every associate at Parker lives its culture of “relationship based care” each day – treating every patient, family and team member like WE would want to be cared for. For more information about Parker Adventist Hospital and joining the team, visit http://www.parkerhospital.org/.
Under general supervision, works independently and as a member of the Case Management team to optimize patients' progress through the continuum of care. Working in a collegial manner, helps case management develop thoughtful, effective, individualized discharge plans.
High School Diploma or GED
Preferred Education: Associate's degree in human services, gerontology, counseling or similar field and demonstrable experience in quality assurance, utilization review, or care management work
Minimum 1-2 years experience in hospital setting, acute care, or insurance case management
Demonstrable understanding of managed care, UR, risk management and/or discharge planning
Demonstrable knowledge of medical terminology
Basic proficiency using Microsoft Office applications and troubleshooting computer problems
Adept in using basic office equipment (e.g. computers, photocopiers, FAX machines, pagers, etc.)
Must have strong organizational skills and proven history for successfully managing multiple tasks with frequent interruptions
Knowledge of Milliman patient criteria helpful
The Case Manager Assistant works as part of the Case Management team in providing quality, patient-centric continuum of care in a cost-effective manner.
Supports Case Managers in advocating on behalf of patients and in working with hospital administrators and physicians to determine the best course of action for patients' care.
Facilitates consistent communication with patients and their caregivers regarding resources available to patients.
Responds promptly to phone inquiries
Helps investigate patients' insurance coverage and benefits
Identifies gaps or barriers in treatment plans, working closely with the Case Management Manager and/or Director on non-routine, difficult or complex cases
Considering patients' and caregivers' specific needs and input, helps coordinate needed post-discharge services and referrals to outside sources
With clear direction from the Case Management manager, provides educational materials/resources to patients and their caregivers on disease management
Works to ensure that patients, families, case management and nursing staff are notified of final discharge times and transportation arrangements
Complies with established hospital, division and department policies, procedures and standards which include, but are not limited to, safety, infection control, use of information systems and confidentiality
Accurately and timely adheres to the automated protocols for "next level of care" referrals
Ensures patients receive and sign, as necessary, all regulatory letters in a timely manner
Documents patient information in an accurate, timely fashion; ensures patient charts are complete, current and correct
Demonstrates strong verbal, writing and organizational skills
Responsible for Case Management clerical duties including, but not limited to, photocopying, faxing, mailing, filing and charting
Adheres to department budget guidelines and expense reporting requirements
Demonstrates strong interpersonal skills to effectively work with Centura staff, patients and their families, external contacts, and other business partners at all socio-economic and organizational levels
Promotes and strives to maintain a professional, team-oriented, service-conscious environment
Consistently demonstrates strong ethics and sound judgment; maintains the privacy and confidentiality of patient information
Serves as a patient advocate
Anticipates the needs of providers, staff, patient and family
GROWTH/DEVELOPMENT -10 %
Demonstrates solid grasp of applicable subject areas and ability to learn relevant terminology, policies, processes, regulations and applicable laws within assigned subject area
Stays abreast of changes and opportunities within the healthcare industry by monitoring referral sites, participating in webinars, workshops/seminars and taking advantage of other informative resources
Flexible, open-minded and adaptable to change
Represents facility in a professional manner at all community events and when interfacing with all external business partners
Stays abreast of state, county and local resources to help case managers effectively utilize them in developing patient care plans
*This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned
X Light work - (Exert up to 20lbs force occasionally, and/or up to 10lbs frequently)
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a... smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.