Care Coordination Asst
US-WA-BURIEN
commonspirit_careers
Req #: 360628
Type: Day
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Overview: In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities. CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies. While you're busy impacting the healthcare industry, we'll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more! Responsibilities: JOB SUMMARY / PURPOSE The Care Coordination Assistant role is responsible for supporting critical and time sensitive functions of the Clinical Care Coordination team, including but not limited to managing post acute care referrals, direct communication with patients/families, post acute care agencies, and other key stakeholders. The Care Coordination Assistant performs these duties with a high degree of accuracy utilizing critical thinking skills and in compliance with hospital policies, standards of practice, and Federal and State regulations. Employees are accountable for demonstrating a strong commitment to our organizational values of: Compassion, Inclusion, Integrity, Excellence, and Collaboration. * Bachelor's degree, LVN/LPN, BSW preferred. ESSENTIAL KEY JOB RESPONSIBILITIES The Care Coordination Assistant, under the direction and supervision of clinical staff performs the following functions: * Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials. * Communicate and collaborate with interdisciplinary team, patients, and family to facilitate care progression. * Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care. * Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance. * Manage transportation referrals as requested. * Comply with confidentiality policies, HIPAA regulations, and organizational standards when transmitting protected patient information to external agencies and vendors as needed for placement, payment or referral. * Ensure compliance with hospital policies, standards of practice, applicable Federal or State regulations pertaining to their role, and contribute to the identification of opportunities for process improvement. In facility where Care Coordination has responsibility for Utilization Management functions, the Care Coordination Assistant will also be responsible for: * Prioritize and manage communications relating to insurance requests, denials and Physician Advisor status recommendations to the appropriate licensed staff member, and documents any related authorizations, denials or status determinations in the designated EMR or software program. Qualifications: Required Education and Experience: Associate (two-year) Degree in Business/Health-Related field or High School Diploma with Medical Assistant or Certified Nursing Assistant certificate or experience in a healthcare setting. * Medical terminology certificate or ability to pass medical terminology test required. * At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting is required. * Experience supporting clinicians in demanding and fast paced patient care environments. * Intermediate to advanced computer skills required to include Microsoft Office and/or Google Workspace applications including Word, Docs, Excel, Sheets, typing, and data entry skills. Required Licensure and Certifications: None
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