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Case Management Assistant

Tampa, Florida
Job #: 453940
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Acting as a patient advocate, you will coordinate management of care, providing ongoing support and expertise through comprehensive assessment, care planning, plan implementation, and overall evaluation of individual patient needs. Whereas most companies only focus on one aspect of clinical care, our Case Managers are full cycle, working on the entire spectrum: from care planning to discharge planning. Join us and experience your best self and work growing and advancing in a highly caring, collaborative and fun environment.

Success Profile

What do you need to be a successful Case Manager at Kindred? Here are the top traits we’re looking for:

  • Collaborative
  • Multi-tasker
  • Problem-solver
  • Organized
  • Responsible
  • Achiever

Back to Job Navigation (Success)

Kindred is a great company where you can continue to grow throughout the entire time you're here. You can even start as a CNA and work your way all the way up into management.

– Sarah, Case Manager, Kindred Hospital Clear Lake

A View of Kindred

Benefits

  • Healthcare

    We offer a variety of Health Savings Account (HSA) and PPO plan options.

  • 401(k) Plan

    Employees can contribute pre-tax dollars through payroll deduction.

  • Paid Time Off

    Your work/life balance is important to us. We offer our employees a flexible Paid Time Off program.

  • Wellness Program

    We offer tools, resources and support for weight loss, stress reduction, smoking cessation and making overall healthier choices.

  • Community

    Community involvement is consistent with our company's principles and with our mission of customer service and quality care.

  • Benefits & Recognition

    Our goal is to offer valuable compensation and incentive programs that enables us to attract, reward, retain, and motivate highly qualified individuals. Compensation can include bonus plans and recognition for going above & beyond.

Job Details


Description

Tampa General Hospital and Lifepoint Health have officially opened the doors on our freestanding 80-bed inpatient rehabilitation hospital in the medical district of downtown Tampa. Announced as a joint venture in May 2020, our new facility will help meet the growing needs of Tampa Bay, the region and the state for rehabilitation recovery and care. 

The new rehabilitation hospital is located on Kennedy Boulevard between Oregon Avenue and Willow Avenue and brings downtown Tampa one step further in the development of a fully realized medical district that will attract the best scientists and physicians to the region and transform the area into a center for healthcare innovation.  Lifepoint manages the day-to-day operations of the new hospital, which is projected to employ more than 140 caregivers and staff and Tampa General Hospital provides medical support services, such as imaging, lab and surgical procedures and name recognition in the market.

JOB SUMMARY:

Under the supervision of the Lead Case Manager, or Director of Quality,thisrolecompletesvariousduties to enhance the efficiencyof the CaseManagementDepartment, as well as support the dailyfunctionsofthecasemanagers.Thisroleassistsinsecuringarrangements for the dischargetransitionandpost-acuteservices. While monitoring the revenuecycle process related to insurancecertifications,insuranceverification,peer-to-peercompletion,anddenial/appealtracking,thispositionserves as a liaisonbetween the CaseManagementDepartment,payers,andadditionalentities.

ESSENTIAL FUNCTIONS:

  • Providesassistanceto the case managementstaff,includingbutnotlimitedto,creatingandsendingreferralpackets,organizingadmissionanddischargepatientrecords,makingphonecalls,obtainingsignatures,oranyother assistanceneededdetermined by the CM team.
  • Assiststhe casemanagement teaminschedulingfamilyconferences.
  • Assiststhe case managementteam by makingnecessaryarrangementsforpost-dischargefollow up care.
  • Functionsas the pointofcontactandliaison for the hospitalCaseManagementDepartmentstaff regardingclinical insurancereviewcompletionand/orissues.
  • Forwardsthe necessarypatientclinicalinformation for alladmission,concurrent,andretrospectiveinsurance reviews to payers for the completionof medical necessityreviews.
  • Monitors,follow-up,documents,andtrackspayerresponses/requestsofcompletedclinicalreviews,includingapprovals,appeals,anddenials,andcommunicatestheseto the appropriatepersonnel[hospitalstaff,physician,DCM,CaseManager,ClinicalDenialManagement,andCentralizedBusinessOffice(CBO)].
  • Monitorsandtracksthe total hospitalcertifieddays of the patient for payers(commercial,managedcare,andMedicaid)andcommunicatesmissingcertifications to the Lead CM/DQ and Case Manager.
  • Organizesandprepares the necessaryclerical elements for the weeklyInterdisciplinaryTeamMeeting to functiontimelyandefficiently.
  • Enter DME needs per order sheet specifications.
  • Prepare Discharge IMM for delivery.
  • Deliver Advance Directive packets.
  • Assist with Rehabtracker sign ups.
  • Abilityto maintainconfidentiality of allpatient and/or employeeinformation to assurepatientand/or employeerights areprotected.
  • Abilityto interface on alllevels of the organization by demonstratingexcellentinterpersonalskills.
  • Abilityto communicateeffectively,both in writing andverbally.
  • Abilityto workcooperativelyandcollaboratively as a memberof a team.
  • Abilityto workunderstressand to respondquicklyinemergencysituations.
  • Musthave good and regularattendance.
  • Performsother relateddutiesas assigned.


Qualifications

  • College degree in healthcare related field preferred
  • LPN or social work degree preferred but not required
  • Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department.  Proficient with WORD and EXCEL software, keyboard typing, and general office equipment.