Description

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Summary:
The Care Management Assistant facilitates arrangements for post-acute services for patient and coordinates requested services for post-discharge.

Responsibilities:
1. Assist in Facilitating Discharge Planning - Assists Care Management team with administrative support in arranging for discharge of patients including but not limited to durable medical equipment, Home Health, facility referrals and transfers, transportation, and infusions. Reviews work list for referrals throughout the day. Completes all appropriate documentation for routine referrals and prepares documents for post-acute services. Documents all discharge planning activities and communications according to department standard.
2. Assist in Utilization Management Process - Provides information required to insurance companies as requested by Utilization Manager or Care Manager or as per policy. Communicates and documents authorizations. Communicates with Care Manager and Utilization Manager for additional clarification as needed. Determines benefits for post-acute care. Completes follow-up on post-acute care authorization. Escalates potential barriers to discharge to the Care manager as identified. Follows escalation process to department leadership. Collaborates with Care Manager, Social Worker, and/or utilizes estimated discharge report to track discharges. As assigned, administers second Important Message from Medicare (IMM) within two days of discharge. Documents second IMM was administered.
3. FL2 for Long Term Care and Pre-Admission Screening and Resident Review (PASRR) - Completes identified sections of documents as requested by Care Manager and/or Social Worker. Sends completed forms from Care Manager and Social Worker to the state for review. Monitors status. Documents delivery/completion and notifies Care Manager and Social Worker.
4. Other Duties - Assists with other duties as assigned by Care Management leadership. Supports Care Managers, Social Workers, and Utilization Managers as needed. Identifies Avoidable Delays and notifies Care Manager and/or Social Worker of delay and root cause. Completes and transmits other documents as needed.
5. Prioritize Daily Activities - Participates in daily Care Management Touchpoint with Care Managers, Social Workers, and Utilization Managers. Discusses referred cases, including, patient status, barriers to discharge, payer communication, escalations and support needs. Reviews insurance coverage updates on all appropriate patients, as assigned. Regularly evaluates work list and re-prioritizes items for the day. Reviews patient census for each service Care Management team, prioritizing communication needs. Reviews discharge planning priorities.

Other Information

Job Details

Legal Employer: STATE

Entity: UNC Medical Center

Organization Unit: UNCH Care Mgmt Operations

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $19.11 - $27.16 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This is a State position employed by UNC Health Care System.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.