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Assistant Case Management

Company: Dignity Health
Location: redlands
Posted on: May 3, 2021

Job Description:

Overview

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

Responsibilities

The Assistant Case Management provides support for the Clinical Services Department, including Outpatient Case Managers, Social Services team, and Health Education, specifically through the coordination of services within the DHMSO Clinical Programs and DHMSO Case Management program.

* Serves as an intake coordinator for referrals into disease management program(s), coordinating requests for services, monitoring members, and reporting findings. The Assistant Case Management is responsible for gathering clinical information from outside sources such as PCPs, specialists and other providers, hospital logs, Cerner, PCM, hospital case managers, and outpatient UM staff. * Maintain accurate records of referrals, appointments, evaluation and management process for the Clinic and Case Management program. Processes referral requests according to company policy * Functions as a resource for access into Cerner for Comprehensive Care and Case Management teams. * Confirms medications currently taken by member during each call. * May communicate obtained information to PCP, Home Visit Program MD or DHMSO Clinical Programs MD as directed. * Knowledge and understanding of IPAs, PPOs, and HMOs with regard to benefits, policies and procedures, documentation requirements and medical terminology.

Qualifications

* Successful completion of medical assisting program (CMA) from an approved educational facility. * Computer experience required with familiarity with QNXT, MS Windows (Word and Excel), and Cerner applications preferred. * Must have strong oral and written communication skills as well as organizational and project management skills.

Keywords: Dignity Health, Redlands , Assistant Case Management, Other , redlands, California

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