Case Management Assistant

Site: North Shore Medical Center, Inc. Job Summary Provides support to case managers and clinical social workers with routine and regulatory clinical and administrative functions. Does this position require Patient Care? Yes. Essential Functions Supports the process of patient referral to SNF, home care, and outpatient. The referral process includes entering clinical information into the referral system and managing the communications regarding acceptance and bed offer or denial with facilities; referrals to outpatient via SharePoint; and contacting home care agencies via telephone with pre-referral information and to establish a start of care date; initiating the patient care referral paperwork. Supports the insurance authorization and continued stay process by making initial contact with the insurance CM to confirm contact information and to establish contacts between the payer and SRH CM; submitting fax and online requests for continued stay authorization and monitors the decision from the payer. Researches available community resources at the request of the CM or SW. Assists the CM, SW, patient and/or family with applications for community resources. Maintains a database for insurance-based processes, e.g. denials and appeals, Medicaid conversion requests and decisions. Qualifications Education: Associate's Degree in Social Work required or Bachelor's Degree in Social Work preferred. Can this role accept experience in lieu of a degree? Yes. Licenses and Credentials: Experience in Clinical and/or Community Resource services. 1‑2 years preferred. Knowledge, Skills and Abilities: Attention to detail. Computer proficiency required (Microsoft Office applications preferred; ability to learn new software). Highly developed communications and interpersonal skills, working with varied populations. Work independently, be self‑directed and contribute as a member of a team. Anticipates challenges and develops and implements strategies for addressing them. High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations. Physical Requirements Standing Frequently (34‑66%) Walking Frequently (34‑66%) Sitting Occasionally (3‑33%) Lifting Frequently (34‑66%) 35lbs+ (with assisted device) Carrying Frequently (34‑66%) 20lbs‑35lbs Pushing Occasionally (3‑33%) Pulling Occasionally (3‑33%) Climbing Rarely (Less than 2%) Balancing Frequently (34‑66%) Stooping Occasionally (3‑33%) Kneeling Occasionally (3‑33%) Crouching Occasionally (3‑33%) Crawling Rarely (Less than 2%) Reaching Frequently (34‑66%) Gross Manipulation (Handling) Frequently (34‑66%) Fine Manipulation (Fingering) Frequently (34‑66%) Feeling Constantly (67‑100%) Foot Use Rarely (Less than 2%) Vision – Far Constantly (67‑100%) Vision – Near Constantly (67‑100%) Talking Constantly (67‑100%) Hearing Constantly (67‑100%) Remote Type Onsite Work Location 81 Highland Avenue Scheduled Weekly Hours 24 Employee Type Regular Work Shift Day (United States of America) Pay Range $22.35 - $25.28/Hourly Grade 3 EEO Statement 3200 North Shore Medical Center, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at View phone number on click.appcast.io. #J-18808-Ljbffr Mass General Brigham - Salem Hospital