Job Description

　　MAIN FUNCTION: This position will provide non-clinical administrative support for continuing care activities. Committed to helping the population we serve, and our communities, this position will provide support to the Department to achieve optimum health and quality of life for patients of Arnot Health. The position supports Care Coordination Department staff with assisting patients through transition of care. This role will report to the System Director of Care Coordination.

　　DUTIES AND RESPONSIBILITIES:

　　Reviews records, documents, and plans; collects and reports information to the Case Manager of the unit.

　　Uses data collection tools to reflect activities, as noted by review of documentation.

　　Provides community resource information as requested and facilitates or completes referrals as directed.

　　Reviews and validates Physician admission orders and assists in Important Message from Medicare (IMM) / Medicare Observation Form (MOON) form completion.

　　Identifies potential discharges and assists in arranging transportation.

　　Assists with referrals; faxes and photocopies medical record information as needed for post-acute patient placement to facilitate timely discharges.

　　Assists with setting up transport, DME, and Follow-up appointments.

　　Collects patient’s insurance authorization for medications and discharge needs.

　　Receives referrals from Case Managers for discharge planning assistance.

　　Assists with complex and difficult discharge planning documents (faxing, calls etc.).

　　Follow up with post-acute care facilities on bed holds.

　　Sends out faxes and clinical information as assigned for referrals to the following community, SNF, Rehab, wound care, and other post-acute LOC as assigned.

　　Obtain necessary medical records and documentation.

　　Crosstrain to provide support for utilizing facility transportation.

　　Assesses payment source, determines coverage for needed services, including obtaining authorization (medication, STR, transportation etc.), in advance of discharge implementation.

　　Verifies patient’s insurance eligibility for facility transfers; obtains authorization if necessary.

　　Updates/corrects insurance information; notifies departments to ensure accurate financial data is available.

　　Collaboration:

　　a. Keeps CM informed of status, interventions, and plans to progress patient care to discharge.

　　b. Actively communicates with multidisciplinary healthcare team.

　　c. Meets with CM daily to identify patients with financial assistance needs and community service needs (CHHA, meals on wheels, lifeline etc.).

　　d. When directed, initiates and completes referral(s) or any other Community Services Referral.

　　e. Meets with patients to provide information and discuss services being arranged (CHHA, DME. Infusion, wound vac etc.). Communicates discharge plan details to patient and family as needed.

　　f. Visits the patients to assure patient’s choice of agencies or preferred provider has been selected. Provides patient or patient representative with other service options available in their area.

　　g. Visits patient or patient representative to obtain required information to initiate referral(s). Reviews financial obligation with patient or patient representative as related to referral.

　　Is responsible for attending all annual mandatory educational programs as required by position.

　　Employee understands and demonstrates the importance of satisfying the

　　needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer’s needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with the Medical Center.

　　It is understood that this lists typical duties for the classification and is not to be considered inclusive of all duties, which may be assigned.EDUCATION:

　　High school diploma or GED required.

　　EXPERIENCE: Two (2) years of experience working with regulatory programs, administrative/secretarial in a professional setting, or patient scheduling/registration experience required.

　　PHYSICAL DEMANDS:

　　This position requires frequent standing and walking.

　　Requires light physical effort.

　　Ability to Frequently lift 15lbs and occasionally lift 25lbs.

　　EXPOSURE CATEGORY:

　　Category I. Tasks that may involve exposure to blood, body fluids or tissues.

　　Requirements