Case Management Assistant

Nexus Health Systems Ltd•Shenandoah, TX

About The Position

The Case Management Assistant (CM-A) plays a pivotal role in supporting Case Managers by facilitating healthcare service delivery and discharge planning in collaboration with the multidisciplinary team. This position involves assisting in the coordination of patient care, ensuring timely access to necessary resources, and managing documentation to ensure all stakeholders are well-informed.

Requirements

A high school degree required
Strong interpersonal and communication skills
Proficiency in MS Office software
Excellent organizational and time-management skills
Ability to gather resources, referrals, or case-specific information when necessary.

Nice To Haves

Two (2) years of case management assistant experience preferred
3-5 years healthcare experience preferred

Responsibilities

Consistently supports and communicates the Mission, Vision, and Values of Nexus Health Systems
Upholds the Standards of conduct and corporate compliance
Demonstrates honest behavior in all matters. To the best of the employee’s knowledge and understanding, complies with all Federal and State laws and regulations.
Maintains the privacy and security of all confidential and protected health information. Uses and discloses only that information which is necessary to perform the function of the job.
Adheres to all Nexus Health Systems policies on Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Collaborates effectively with colleagues and other departments to ensure seamless service delivery.
Schedule and coordinate patient appointments, transportation, and other necessary services.
Liaise with healthcare providers, community organizations, and service agencies to ensure comprehensive patient care.
Assist Case Managers with preparations for the treatment planning conferences.
Assist the Case Managers with obtaininging discharge planning resources and follow-up for placements status
Coordinates the ordering of Durable Medical Equipment (DME) and supplies
Maintain campus-wide recertification list
Maintain accurate and up-to-date patient records, ensuring compliance with confidentiality and privacy policies.
Prepare and distribute case management plans, summaries, lab reports, and therapy notes to relevant stakeholders.
Create transport packets to accompany medical appointments: history & physicals, lab orders, prescriptions, and other physician orders as necessary.
Review medical bills for accuracy, forward to appropriate stakeholders or guardians for payment
Perform clerical duties such as data entry, filing, and managing correspondence.
Mantains Case Management files
Assist in preparing for case reviews, audits, and team meetings.
Act as a liaison between patients, families, and the healthcare team, providing information and support as needed.
Assist patients and families in completing necessary paperwork and understanding available resources.
Complete a six-month follow-up call to all patients/guardians for a status update.
Complete discharge satisfaction surveys
Ensure all activities adhere to healthcare regulations and organizational policies.
Participate in quality improvement initiatives to enhance service delivery.
Promotes of a culture of patient safety which results in the identification and reduction of unsafe practices.
Completes annual education requirements.
Maintains competency, as evidenced by completion of competency validation requirements.
Maintains competency and knowledge of current standards of practice, trends, and developments.
Participates in relevant workshops, seminars, and continuing education courses to stay current with industry trends, healthcare regulations, and best practices.
Promotes stewardship of hospital resources while ensuring quality patient care.
Performs other duties as assigned.