Case Management Associate Jobs in Hialeah, FL (NOW HIRING)

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That’s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades, or are recognized as Magnet or Pathway to Excellence facilities. Join us!  

Job Description:
The Case Management Assistant (CMA) will work under the direction of the RN Case Manager or Social Worker to assist with facilitating patient discharges requiring post-acute placement or services, and will identify and report barriers to discharges. He/she will coordinate timely referrals and facilitate payor authorizations where applicable. The CMA will also supply support in areas that do not require licensed personnel.
Responsibilities:

• Coordinates with RN Case Manager and Social Worker for support needed. Communicates updates on progress throughout the day. Refers patient questions back to the case manager/social worker.
• Provides clerical support of multidisciplinary rounds, including updating NATE Tempo at direction of team.
• Makes referrals through the web-based referral system (nH Discharge/Other) to the specific post-acute care (PAC) providers requested. Includes sending the appropriate packet of information from the medical record required for the level of care.
• Makes appointments for outpatient hemodialysis.
• Monitors all patients with PAC referrals and intervenes to expedite placement.
• Prioritizes workload to ensure a timely contact and intervention with PAC settings.
• Sends additional information to PAC provider when requested.
• Communicates with RN Case Managers/Social Workers regarding the status of PAC referrals, bed availability, and other barriers that cannot be resolved
• Communicates results of PAC referrals with the patient, including having the Patient Choice letter signed.
• Monitors Medicare patient’s planned discharge dates and delivers the Important Medicare Message (IMM) to the patient per facility policy.
• Delivers the Beneficiary Notice to patients identified as being in the BPCI-A program (Bundle Payment hospitals only).
• Obtains physician signature on required case management documents.
• Based on facility practice; sets up transportation/sends information to Transfer Center and generates discharge packets for PAC transfers.
• Utilizes Case Management systems, standards, and processes.
• Maintains knowledge of and actively develops relationships with PAC providers and payers.
• Demonstrates knowledge of regulatory requirements, HCA Ethics and Compliance policies.
• Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”.

• Associate Degree Preferred
• Medical knowledge and terminology Required
• Minimum of two years experience a health care setting Required
• Currently licensed/certified as a health care professional (CNA, EMT) preferred

HCA Florida Westside Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Florida Westside Hospital is a 250-bed medical center and healthcare complex. Our facility was founded in 1974. We offer the latest in minimally invasive spine and colorectal surgery. We are one of nine Joint Commission-certified centers in the United States for minimally invasive colorectal surgery. Our Comprehensive Stroke Center is certified by the Agency for Health Care Administration (ACHA). We are certified as a Thrombectomy Capable Center by the Joint Commission. We are a teaching and research facility. We offer Graduate Medical Education (GME) programs in podiatry, surgery, and internal medicine. We are committed to expanding and improving every facet of the organization. We devote significant time and resources to enhancing our facility, staff, and medical care. Our medical services and compassionate care, illustrate why we are one of the leading healthcare facilities in South Florida. At HCA Florida Westside Hospital, we care like family! Join our family-oriented team of more than 1,200 professionals and nearly 750 physicians.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Case Management Assistant opening. Submit your application today and help advance the practice of nursing.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.