Case Management Coordinator

The Case Management Coordinator is repsonsible for all discharge plan executions prepared and documented by the RN Case Manager or Social

Worker. Is responsible for discharge arrangements and/or transfer from the facility. Works in Collaboration with the RN Case Manager and Social

Worker to prepare patient and family for pending discharge to appropriate care settings. Uses post acute referral system for all patient placements

and documents choices offered to patients. Assures all required documentation is forwarded to the receiving facility for discharges or transfers.

Receives, organizes and prioritizes all insurance requests, entering certifications and authorizations in the appropriate MIDAS screens. Closes out

discharged cases, reviewing MIDAS to ensure admission reviews are complete, appropriate certifications are entered and discharge destinations

are completed Initiates follow-up calls for Transfer DRG’s or conditions. Coordinates with the Case Manager to assure that the "Medicare Important

Message" was delivered according to CMS regulations/hospital policy. This position will report to the Director of Case Management.

• Under the direction of the RN Case Manager or Social Work staff, executes the discharge plan for patients with post-acute needs completmg timely and accurate arrangements for the patient for discharge and/or transfer from the facility.
• Integrates knowledge of patient's insurance benefits and eligibility when coordinating post acute needs. Verifies benefit coverage and works closely with payers to obtain authorization for discharge medications and post-acute service providers, i.e SNF, HHA, DME etc.
• Explains post acute choices to patients/families and communicates referral requests using Curaspan system for all referrals.
• Assures all required documentation is sent to the receiving facility for discharges or transfers
• Documents all work in Midas Case Management system and prints discharge planning notes at least daily for patient charts.
• Other related job tasks or responsibilities as assigned

• Special Skills: Communication, care coordination, teaching, proficient in Microsoft Office
• Minimum Requirements
  • Experience: Two years Health Care experience
  • Education: High School Diploma

• Preferred Requirements

  • Experience: 2
  • Education: Associate or Bachelors Degree

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