University of Utah Health Care

Returning Candidate?

Case Management Assistant - Behavioral Health

Case Management Assistant - Behavioral Health

Requisition Number 
27991
Reg/Temp 
Regular
Employment Type 
Full-Time
Shift 
Day
Work Schedule 
Monday - Friday
Location Name 
University of Utah Health Plans
Patient Care? 
No
City 
Murray
State 
UT
Department 
UIP CST 01H UUHP CLINICAL OPRN
Category 
Insurance / Health Plans

More information about this job

Overview

As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA

This position is responsible for implementing patient discharge plans, and supporting coordination of care activities under the direction of a registered nurse and/or social worker. Interacts with representatives from insurance companies, health maintenance organizations, home care agencies, skilled nursing facilities, durable medical equipment companies, and transportation agencies.

This position has no responsibility for providing care to patients.

Responsibilities

  • Implements patient discharge plans prepared and delegated by social work or nurse case management team members. This is done by coordinating with home care agencies, post-acute care facilities, durable medical equipment companies, transportation agencies and others as indicated.
  • Collaborates with social work/nurse case manager and others to confirm authorization for services is in place.
  • Assists in collecting data related to patient outcomes and auditing data for accuracy.
  • Prepares documents and reports required for internal and/or external groups in the scope of care coordination activities and/or data collection.
  • Documents activities and progress in medical charts, computer billing/utilization systems, or in other ways as directed.
  • Collaborates with internal and/or external partners to address financial advocacy for patient/organization.
  • Issuance of CMS Important Message to patients/designee.
  • Inputs clinical information into computer database.
  • May be required to participate in quality improvement initiatives per the department.

Knowledge / Skills / Abilities

  • Demonstrated potential ability to perform the essential functions as outlined above.
  • Demonstrated human relations and effective communication skills.
  • Demonstrated knowledge of medical procedures and terminology.
  • Ability to handle highly sensitive or confidential issues.
  • Ability to successfully manage multiple priorities.
  • Ability to work independently and as a team player.

Qualifications

Qualifications

Required

  • Completion of a hospital provided medical terminology course within six months of hire.

Qualifications (Preferred)

Preferred

  • Two years of college level education in a healthcare or related field.
  • One year experience in utilization review or case management environment.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

  • This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving patient care or medical equipment. This position does not provide any direct patient care. Workers in this position may be exposed to infectious diseases and may be required to function around prisoners or behavioral health patients.

Physical Requirements

Far Vision, Listening, Manual Dexterity, Near Vision, Reaching, Sitting, Speaking, Standing, Walking