Summary

The Care Coordination Assistant supports the UM Nurse, Social Workers and Complex Care RN with non-licensee type task and functions within the department to ensure patient throughput remains timely. Is responsible for selected functions related to Advance Directives, Utilization Review and Disposition Planning. The Care Coordination Assistant's responsibility is to support the Care Coordinators and patients requesting assistance with advance directives, DME, Medication pick up, delivery of MOON (Medicare Outpatient Observation Notification), transition of care items, delivery of IMFM (Important Message from Medicare), and other duties as assigned by supervisor. Is responsible for communication with the patient/family and entire care team on a timely basis.

Job description

Job Summary

The Care Coordination Assistant supports the UM Nurse, Social Workers and Complex Care RN with non-licensee type task and functions within the department to ensure patient throughput remains timely. Is responsible for selected functions related to Advance Directives, Utilization Review and Disposition Planning. The Care Coordination Assistant's responsibility is to support the Care Coordinators and patients requesting assistance with advance directives, DME, Medication pick up, delivery of MOON (Medicare Outpatient Observation Notification), transition of care items, delivery of IMFM (Important Message from Medicare), and other duties as assigned by supervisor. Is responsible for communication with the patient/family and entire care team on a timely basis.

Core Responsibilities and Essential Functions

Disposition Planning

Supports the SW and UM nurse, Complex Care RN with assigned functions to prevent barriers for timely disposition gathers information and coordinates with care coordinator.
Provides resource information in a timely and efficient manner.
Collaborates with other members of the health care team to lend support.
Provides education to patient/family in understanding, letters being delivered and any follow up
Understands eligibility processes and criteria for both private and public local, state and federal resources.
Responds to referrals from hospital staff, physician offices, community and family to provide resource information and education.
Coordinates financial needs assessment for patients in need of assistance for follow-up care throughout the continuum.
Provides follow-up for patients needing post-discharge assistance.
Allows for any cultural or religious beliefs in providing service and continuity of care.
Ensures timely delivery of DME and transportation services by ensuring follow up

Assessment

Monitors for compliance of Medicare/Medicaid regulations
Communicates with appropriate Care Coordinator for UR denials received. Track and tend data for PI
Allows for any cultural or religious beliefs in providing service and continuity of care.

Documentation

Communicate barriers for timely disposition based on needed resources for safe transitions
Obtains all the appropriate signatures from patients on MOON and IMFM letters
Support updates in PI tracking tools, White boards, avoidable day modules, etc.

Professional Development and Initiative

Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Requirements

High School Diploma / GED Required
General or Accredited Program Nursing-Preferred
Basic Life Support Upon Hire Preferred
BLS-I - Basic Life Support - Instructor Upon Hire Preferred
Minimum 3 years work experience working with customers/clients and strong clerical background Required
Strong computer skills and Microsoft office products Required
Professional, organizational, excellent verbal, and written communication skills a must
Ability to interact appropriately with patients from various backgrounds
Must be able to build and sustain trust with the physician and the care team

Company overview

Wellstar Health System is one of Georgia's largest and most comprehensive integrated healthcare systems, founded in 1993 and headquartered in Marietta, Georgia. As a non-profit health system, Wellstar operates with a mission to enhance the health and well-being of every person it serves through its PeopleCare approach. The system employs approximately 29,469 to 33,000 team members across multiple hospitals, health parks, medical offices, outpatient centers, pediatric centers, nursing facilities, and hospice and home care services. Wellstar is nationally recognized for operating Georgia's largest integrated trauma network and features the second-largest Emergency Department in the United States. The organization provides more than $1 billion annually in charity care and community programs, demonstrating its commitment to community health. Wellstar has earned numerous accolades including recognition on Fortune's 100 Best Companies to Work For, Best Workplaces in Health Care, and PEOPLE Companies that Care lists. The system embraces innovation through its venture firm Catalyst by Wellstar, which nurtures early-stage healthcare companies, and maintains academic partnerships with institutions like the Medical College of Georgia for caregiver training. With specialties spanning cardiovascular care, oncology, women's health, pediatrics, musculoskeletal services, and numerous other medical disciplines, Wellstar delivers comprehensive healthcare across all stages of life.