Care Management Assistant

Job Description

The Care Management Assistant (CMA) primary focus is on assisting the Care Management staff and their patients with Social Work, Case Management, and Discharge Planning. Responsible for assisting with performing care coordination, resource linkage, program development, utilization review, clerical work, and discharge planning for Cottage Health patients. The CMA's activities will result in quality outcomes, optimal care/cost management of services and/or procedures, a high level of customer satisfaction, and contribution to an overall value-oriented experience of stakeholders and persons served. Provides guidance and assistance with patients in need of charity, benefits, and Medi-Cal related needs.

Responsibilities

This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.

• Resource Linkage:? Link patients to internal and external resources as appropriate? Identify and provide follow up DCIM letters to appropriate patients for all hospital inpatient units? Provide resources to help with social and medical issues? Assist patients with access to charity, financial, insurance, benefits, and disability assistance? Arrange and coordinate presentations by outside entities that can be of assistance to patients and staff members? Maintain stock of commonly used unit resources such as EDD forms, Senior Resource Directories, bus tokens, Clean Air Express Vouchers, Taxi Vouchers, etc.? Assist Case Managers and/or Social Workers with establishing availability of patient placements at alternate level of care facilities? Maintain communication with representatives of community alternate level of care facilities? Help facilitate patient transfers to the new placements (40%)
• Utilization Review:? Assess patients' insurance coverage for meeting criteria for services needed, including admission to the hospital? Assess patients for meeting criteria and having insurance coverage or private pay funds for recommended transfers to outside facilities and services? Review patient services to assess if adequate access to these services when available and refer to Care Management team when appropriate? Verify insurance coverage and work with the Patient Access Department to ensure all insurances are known and valid? Assess patients' eligibility for additional insurance coverage requests by Care Management staff members and assist as needed with the application process? Maintain timely and accurate records in the medical chart? Arrange and/or assist with referrals for home care services as determined by the Case Manager or Medical Social Worker (20%)
• Utilization Review:? Assess patients' insurance coverage for meeting criteria for services needed, including admission to the hospital? Assess patients for meeting criteria and having insurance coverage or private pay funds for recommended transfers to outside facilities and services? Review patient services to assess if adequate access to these services when available and refer to Care Management team when appropriate? Verify insurance coverage and work with the Patient Access Department to ensure all insurances are known and valid? Assess patients' eligibility for additional insurance coverage requests by Care Management staff members and assist as needed with the application process? Maintain timely and accurate records in the medical chart? Arrange and/or assist with referrals for home care services as determined by the Case Manager or Medical Social Worker (40%)
  
  

Qualifications

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Preferred:

• Associate's Degree.
  
  

CERTIFICATIONS, LICENSES, REGISTRATIONS

Technical Requirements

Minimum:

• Basic office software skills, i.e. MS Word, Excel.
  
  

Preferred:

• Intermediate typing and office software skills. Bilingual: Spanish speaking, reading and writing.
  
  

KNOWLEDGE, SKILLS, And ABILITIES

All knowledge, skills, and abilities listed indicate the minimum level deemed necessary to perform this job proficiently.

• Skilled at negotiating, persuading, problem solving, and multi-tasking. Ability to be flexible, dependable, work independently, be self directing, and have tolerance for stressful situations.
• Ability to effectively read, write and speak in English. Bilingual Spanish speaking, reading and writing skills are strongly desired.
• Must have common sense, adaptability, ability to manage and institute change, organizational skills, a strong desire to promote team spirit, assertiveness, and the ability to be diplomatic and culturally sensitive.
  
  

About Us

Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.

Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter.

If you're already a Cottage Health employee, please apply on this link only.