M health Fairview has an immediate opening for a Care Transition Assistant supporting the Community Care Resource Center based out of the Midway Corporate Campus located in St. Paul, MN.
The Care Transition Assistant is responsible for providing the Medicare Important Message (MIM) to all patients requiring the notification. This position manages, delivers and documents the MIM per compliance regulations. This position assists Care Transitions staff with completing concrete tasks necessary to facilitate efficient transition of patients.
This is a 1.0 FTE (80 hours per two week pay period), benefits-eligible opening.
Completes MIM letter delivery to patients or patients care giver/significant relation via face to face, phone or fax within the Medicare time requirements
Manages applicable work queues, utilizing EHR and/or the Care Transtions tool. Provides feed back to the Care Transition Specialist-RN (CTS-RN) of potential appeals or insurance concerns of patient
Through direction of the CTS-RN, facilitates the Discharge Appeal process directed by each site, which may include obtaining and faxing necessary medical records during an appeal process
Documents MIM in EHR or Fairviews care transition delivery tool
Completes required compliance audits on the delivery of the MIM
Ensure timelines are met in accordance with policy
Understands regulatory requirements surrounding MIM delivery process
Collaborates with the interdisciplinary team, including care transition specialists, utilization management nurses, physicians, and bedside nurse for appropriate delivery of patient correspondence to the patient or patients care giver/significant relation
Provides support to the work processes for the Care Transitions team
Supports faxing needs for patient discharge disposition
Understands and focuses on key performance indicators
Provides all customers with excellent service experience
Facilitate and support Utilization Review correspondence
Participates in department quality improvement projects as assigned
Manages department voicemail per site direction
Orders appropriate patient documents needed for department.
High School Diploma/GED
One year health care experience with patient exposure (hospital, home care, nursing home, skilled nursing facility, health care payor)
Three years health care experience
Competency with EHR and Excel.
Ability to work independently, prioritize work, and excellent communication skills.
Excellent computer and database management skills
Must demonstrate ability to work effectively on an interdisciplinary team.
Must be able to work flexible hours, including covering weekends and working on call, as assigned.
Comfortable entering patient rooms to deliver messages and ability to help ensure customers understanding.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.