Health Management Extender

Location Spartanburg, SC
Facility Spartanburg Medical Center
Department Health Management
Schedule - Shift - Hours Full-Time - Varied Shifts - 8am-4:30pm
Job Category Administrative/Clerical
Salary Job Grade 014
Req #: 63276

Summary

Position Summary

Under the direction of the manager, the Case Management Extender (CME) serves in a collaborative role to the Case Manager, by organizing and arranging services required by the Interdisciplinary Plan of Care related to treatments, living arrangements, clinical services, financial assistance and social services. The CME serves as an information conduit between SRHS and external agencies, facilities, and customers. The CME must be able to prioritize, multi-task and perform work with a high degree of accuracy to achieve timely and efficient management of patient care and regulatory requirements.

Minimum Requirements

Education

Associate Degree

Experience

3 years: healthcare, financial services, care coordination and/or utilization management experience, Certified Medical Assistant, LPN or bachelor’s degree with no post degree experience

License/Registration/Certifications

Preferred Requirements

Preferred Education

Associate degree

Preferred Experience

3-5 years

Preferred License/Registration/Certifications

Core Job Responsibilities

Complies with established policies and procedures
Complies with regulatory requirements of discharge planning and utilization management
Assist with the implementation function of the plan of care as developed by the case manager to provide effective communication and timely services
Assist the case manager in the management of the patient discharge planning process across the continuum of care
Seeks case manager clarification and communicates with professional staff on the plan of care and continued stay. The CME will proactively communicate with the case manager to identify expected discharges, facilitate transfers, discharges to post-acute providers and discharge planning needs as well as delivery of the Important Medicare message
Must be self-directed to refer difficult placements or placements with no bed offers to the case manager; CME will ensure information is updated and resent to avoid delays
Serves as an information conduit between SRHS and external agencies/facilities, providers and payors ensuring information is communicated to the next venue of care.
CME works to ensure discharge summaries are sent post discharge. Elevates any outstanding discharge summaries to the case manager and department manager
Responsible to run the Important Message report to identify, review and manage delivery needs of the second Important Medicare Message.

In collaboration with the Case Manager delivers the second important Medicare message. May deliver the initial Important Message if it has not been delivered. Documents delivery of notice in the medical record.
In collaboration with the Case Manager, delivers the Medicare Outpatient Observation Notice (MOON) as needed. Documents delivery of notice in the medical record
Updates knowledge by participating in educational opportunities and attending staff meetings
Documents clearly and concisely all contacts and information of the patient’s case management process in the medical record
In case of an appeal, assists the case manager and/or Office Manager in copying of the medical record and printing of electronic information from the medical record.
Other duties as assigned

Additional Information

Spartanburg Regional Healthcare System (SRHS) offers a full spectrum of services through six hospital campuses: Spartanburg Medical Center, Spartanburg Medical Center — Mary Black Campus, Pelham Medical Center, Cherokee Medical Center, Spartanburg Hospital for Restorative Care and Union Medical Center. SRHS also includes Ellen Sagar Nursing Center and Woodruff Manor. SRHS provides unparalleled cancer care through Gibbs Cancer Center & Research Institute, with locations in Spartanburg, Greer, Union and Gaffney. The multidisciplinary Medical Group of the Carolinas has more than 600 physicians across Upstate South Carolina and western North Carolina. SRHS employs more than 9,000 associates and offers outpatient surgery centers and a Level I Trauma Center.

Founded on Aug. 29, 1921, as Spartanburg General Hospital, Spartanburg Regional celebrates over 100 years of excellence.