Overview

Carondelet St. Marys Hospital Hospital is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.

At Carondelet St. Marys Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

The individual in this position works under the direction of the RN Case Manager and/or Social Worker (SW) to complete referrals for post acute services for patients and assist with tasks that do not require a clinical license or degree. The individual’s responsibilities include the following activities: a) arrange post-discharge services b) create and follow up on electronic referrals using the Tenet Case Management system, c) review patient choice letters with patients/families for required signatures, d) provide follow up Important Message to Medicare patients prior to discharge, e) communicate with patients, families and other members of the care team, f) complete tasks assigned by Case Manager and Social Work staff, g) make copies, send faxes and complete phone calls, h) complete process reviews or audits as requested, and i) other duties as assigned

Responsibilities

• Validates patient’s demographic and payer information with patient/family and notifies Patient Access immediately if any corrections are needed
• Validates that all commercial/managed care discharges have an authorization for status and level of care provided and notifies Director of Case Management (DCM) of variances
• Provides Important Message follow up letter to Medicare beneficiaries per Tenet policy and under the direction of the RN Case Manager or Social Worker
• Makes referrals for post-acute services under the direction of the RN Case Manager or Social Work staff utilizing the electronic Tenet Case Management system
• Provides patients and families with choices of post-acute providers per Tenet policy
• Responds to post-acute providers timely and completes referrals per Tenet policy
• Documents and communicates all elements of the post-acute referral to the RN Case Manager or SW and the healthcare team, patient/family and post-acute providers
• Completes tasks as assigned by RN Case Manager and/or SW staff
• Makes copies, send faxes and complete phone calls to arrange post-acute services and to ensure that appropriate hospital information is communicated to post-acute providers
• Documents all referrals and tasks in the Case Management Documentation system per Tenet policy
• Provides patients and healthcare team information regarding resources and benefits available to the patient along with the economic impact of care options
• Adheres to federal, state, and local regulations and accreditation requirements impacting case management scope of services
• Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Tenet policies

Qualifications

• Minimum Requirements
  • Experience: Two (2) years of experience in clerical or healthcare field
  • Education: High School diploma or equivalent required
• Preferred Requirements
  • Experience: Paramedic, EMT or Nursing Assistant certification preferred. Acute hospital experience preferred.
  • Education: Associate or Bachelor’s degree
  • Certifications:  Paramedic, EMT or Certified Nursing Assistant

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Organization Description

St. Marys Hospital, established in 1880, is Southern Arizonas longest continually operating hospital and one of the top medical centers in Tucson and the region. Home to the Carondelet Heart & Vascular Institute, St. Marys is recognized as a destination hospital for minimally invasive heart and vascular surgery, as well as advanced stroke care, emergency care, wound care and bariatric surgery. St. Marys strives to offer personalized, compassionate care to every patient. Join our team!

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