Clinical Resource Management Associate

Under the supervision of a Registered Nurse Case Manager, the Clinical Resource Management Associate will interact with patients, families, vendors, payers, community agencies, and multidisciplinary healthcare teams to assist in safe transitions of care and appropriate utilization of healthcare services. This role performs various administrative, clerical, and secretarial tasks within the department under little supervision. Provide administrative support to the Director and/or Managers/Supervisors as assigned.
Qualifications:
Minimum Education
Associate's Degree (Required)
Bachelor's Degree (Preferred)
Minimum Work Experience
3 years Experience in a Health Care related field. (Required)
Required Skills/Knowledge
Proficient with medical terminology, MS Word, Excel and able to learn the Electronic Medical Record System (EMR).
Strong organizational, interpersonal, and customer service skills required.
Must have ability to prioritize, delegate and manage multiple responsibilities.
Proficient with Microsoft Word and Microsoft Excel skills.
Demonstrates advanced knowledge of office and clerical skills.
Job Functions

• Transitions of Care Collaborate with Case Management, Social Work, and physicians to meet patient/family needs. Utilize Case Management screening tool to gather pertinent information from patient/family. Interact and respond to inquiries from families, payers, external providers, and the medical team by answering questions and explaining information clearly and thoroughly to facilitate the safe transition for patients. Fax patient discharge summaries to identified PCP or provider. Properly documents all relevant actions into the Electronic Medical Record (EMR) systems and other systems as needed.

• Patient Scheduling: Apply knowledge of HSC, its processes, and payer requirements when scheduling appointments. Facilitate scheduling appointments during the patient admission as directed by the medical team. Collaborate with patient's caregivers when scheduling post-discharge appointments (i.e. family preferences for a day of the week, location, etc.).Communicate scheduled appointments to the patient's caregivers and medical team using accepted processes. Collaborate with medical team to facilitate transportation based on patient's identified care needs.

• Performance Improvement Participate in the identification, implementation, and evaluation of processes to improve workflow and customer service. Will support leading or participating in the planning, directing, and implementing of projects as assigned.

• Additional Duties: Supports administrative operations of the Collaborative Services department. Other duties as assigned.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Employee Excellence

• Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence standard is achieved

• Innovates through improvement of care and/or efficiency of operational processes.

• Dedicated to a standard of performance excellence and high quality

All In

• Embraces changes/improvements and actively participates in the implementation of new/improved programs, technology, new equipment, systems and resources that promote quality of care, safety and efficiency

• Identifies, prioritizes and selects alternative solutions to determine best outcome

Action Oriented

• Maintains a high level of activity/productivity, meeting deadlines and appropriately prioritizing tasks to meet business demands

• Anticipates problems and attempts to solve before they develop

Supervisory Responsibilities

• None

Blood Borne Pathogen Exposure

• Category II: Job may expose incumbent occasionally or in emergency situations to blood, body fluids, non-intact skin or tissue specimens.

Protected Health Information Access Level

• Level IV - Full Access Incumbents in this job may access any protected health information associated to a customer's needs, the service(s) rendered and the position's functions.

Working Environment

• This job operates in a hospital or office environment.

Physical Requirements

• Light Work: Lifting 25 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 10 lbs.

Travel Requirements

• This is a full-time, regular position working standard and extended hours.