Case Management Coordinator

Overview



Abrazo West Campus Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Abrazo West Campus, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

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.

Responsibilities

• 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

Qualifications

• 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

  #LI-CB4

Organization Description

Abrazo West Campus is recognized for providing exceptional, comprehensive care to patients in West Valley communities. The 200-bed acute care hospital offers advanced services, including the da Vinci Xi surgical platform, Level I Trauma Center, Loop-X system, orthopedics, obstetrics and cardiovascular care.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
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Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.