Care Management Assistant

Care Management Assistant

Full-Time / 40 Hours / Days (Mon-Fri / No Weekends or Holidays)

Summa Health - Akron Campus

Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary:
The Care Management Assistant (CMA) provides support to members of the Care Management team. As a member of the discharge planning team participates in care coordination and transition planning efforts. The CMA supports efficient movement of patients to post-acute facilities including Skilled Nursing Facilities (SNF), Long-term Acute Care Hospitals (LTACH), Inpatient Rehab Facilities (IRF) and Intermediate Care Facilities (ICF) by receiving task triggers to create referrals; transmit to post-acute care provider facilities via HIPAA secure platform and triggering facility pre-certification initiation, or initiates pre-certification as directed.


The CMA supports department compliance to federal and state regulations by serving patient rights notifications related to Discharge Planning and Utilization Management. The CMA works cooperatively with internal interdisciplinary teams, providers, allied health staff, as well as patients, caregivers and visitors. At the direction of the RN Case Manager, Utilization Management RN, and Social Worker, the CMA assists with transitions of care to facilities or arranging follow-up in the outpatient setting.

The CMA works collaboratively and effectively with external community providers/agencies, facility admissions staff and insurance companies. The CMA position requires the individual to take initiative, be proficient, and have strong decision-making skills, organizational skills, communication skills and a commitment to quality and excellence in service.

Minimum Qualifications:
Formal Education Required:
a. Associate degree or equivalent combination of education and/or experience.

Experience & Training Preferred:
a. Basic experience utilizing Microsoft Office products
b. Knowledge of medical terminology
c. One (1) year experience working with electronic health record (EHR)
d. Previous insurance and prior authorization experience


Other Skills, Competencies and Qualifications:
a. Ability to prioritize with excellent organizational skills
b. Ability to work in a fast paced environment with attention to detail
c. Ability to complete multiple tasks simultaneously
d. Maintains confidentiality of all patient information
e. Demonstrates basic computer skills as well as navigation and application of electronic devices and platforms
f. Knowledge of CPT and ICD-10 codes
g. Requires interpersonal skills sufficient to interact effectively with patients, their families, interdisciplinary caregivers, peers, subordinates, and supervisors.
h. Excellent verbal and written communication skills
i. Population Specific Competency: Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity

Level of Physical Demands:
a. Sedentary, exerts up to 10 lbs of force occasionally and/or a negligible amount of force frequently.

Equal Opportunity Employer/Veterans/Disabled

$19.23/hr - $23.08/hr
The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.

• Basic Life and Accidental Death & Dismemberment (AD&D)
• Supplemental Life and AD&D
• Dependent Life Insurance
• Short-Term and Long-Term Disability
• Accident Insurance, Hospital Indemnity, and Critical Illness
• Retirement Savings Plan
• Flexible Spending Accounts - Healthcare and Dependent Care
• Employee Assistance Program (EAP)
• Identity Theft Protection
• Pet Insurance
• Education Assistance
• Daily Pay