Care Management Associate

Join our team as a Day Shift, Full time, Care Management Associate NE at INTEGRIS Health Southwest Medical Center in Oklahoma City, OK.

Get to Know Your Team

• INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take the first step toward growing your career by joining us.

The Case Management Associate plays a vital role in supporting the case management team by coordinating patient care, facilitating efficient hospital operations, and ensuring quality patient outcomes. This role involves assisting with discharge planning, coordinating referrals, managing case management data, and collaborating with multidisciplinary teams to meet patient needs. The Hospital Case Management Associate will work in alignment with INTEGRIS Health’s Mission, Vision, and Values, contributing to a culture of compassion, excellence, and collaboration. This position also includes supporting analytics and maintaining case management data, ensuring accurate record-keeping, and providing valuable insights to improve patient care and operational efficiency.  Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires.\
 

REQUIRED QUALIFICATIONS
EXPERIENCE:

• 1-3 years of experience in a hospital or health care setting, preferably in case management, patient care coordination, or health care administration.

EDUCATION:

• High School Diploma or GED required.

LICENSE/CERTIFICATIONS:

• BLS certification required, with ongoing certification maintenance

SKILLS: 

• Excellent communication skills, both verbal and written.
• Strong organizational and multitasking abilities.
• Knowledge of health care terminology and processes.
• Ability to work effectively in a fast-paced, team-oriented environment.
• Compassionate and empathetic when interacting with patients and families.
• Proficiency in using office software (e.g., Microsoft Office Suite) and EHR systems.
• Ability to maintain confidentiality and adhere to privacy regulations (e.g., HIPAA).
• Strong problem-solving abilities.
• Attention to detail and accuracy.
• Ability to handle sensitive situations with tact and professionalism.
• Ability to work independently with minimal supervision.

PREFERRED QUALIFICATIONS
EXPERIENCE:

• Experience with Electronic Health Record (EHR) systems is a plus.

EDUCATION:

• Associate’s degree in health services, Social Work, Nursing, or a related field preferred.
• A bachelor’s degree in social work, Nursing, or a related health care discipline is highly desirable.

LICENSE/CERTIFICATIONS:

• Certification in Case Management (CCM) or a related certification is preferred, but not required at the time of hiring.
• Basic Life Support (BLS) certification may be required depending on hospital policy.

INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

The Case Management Associate plays a vital role in supporting the case management team by coordinating patient care, facilitating efficient hospital operations, and ensuring quality patient outcomes. This role involves assisting with discharge planning, coordinating referrals, managing case management data, and collaborating with multidisciplinary teams to meet patient needs. The Hospital Case Management Associate will work in alignment with INTEGRIS Health’s Mission, Vision, and Values, contributing to a culture of compassion, excellence, and collaboration. This position also includes supporting analytics and maintaining case management data, ensuring accurate record-keeping, and providing valuable insights to improve patient care and operational efficiency.  Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires.\
 

Support Case Management Team:

• Assist case managers and other health care professionals in creating care plans and coordinating resources for patients. Maintain accurate and up-to-date documentation of patient information in the system.

Discharge Planning: 

• Collaborate with clinical staff to develop and implement effective discharge plans, ensuring continuity of care after hospitalization. 
• Educate patients and families about discharge instructions, follow-up care, and necessary community resources.

Referral Process:

• Initiate Referrals: Work with the case management team to identify patients who may require additional services or specialty care. Initiate referrals to appropriate health care providers, specialists, and community resources based on patient needs, preferences, and discharge plans.
• Track and Follow-up on Referrals: Monitor the progress of referrals to ensure timely responses from external providers. Maintain accurate records of referral status and follow-up actions to ensure patient needs are addressed.

Coordinate with External Providers: 

• Liaise with external health care providers, specialists, insurance companies, and social services to ensure referrals are processed efficiently and that the patient’s care needs are met in a timely manner.

Communicate with Patients and Families:

• Inform patients and families of referral outcomes and provide guidance on any next steps or follow-up actions. Address questions or concerns related to referrals to external services or specialists.

Medicare:

Medicare Communications: 

• Ensure that patients who are covered by Medicare receive important messages and notifications related to their benefits, coverage, and rights.

Medicare Discharge Notices:

• Collaborate with case managers to provide patients with timely notices required by Medicare, such as the Important Message from Medicare (IMM), which outlines patients' rights to appeal discharge decisions and receive Medicare benefits.

Compliance with Medicare Requirements:

• Ensure that all communication and documentation follow Medicare's guidelines and that patients are informed of their rights to appeal and the processes involved.

Provide Education to Patients: 

• Educate Medicare beneficiaries and their families on the importance of understanding their discharge rights, benefits, and the steps to take if they wish to appeal a discharge decision.

Data Management and Documentation:

Maintain Case Management Data: 

• Assist in maintaining accurate and timely case management data, ensuring that records are kept up-to-date in the Electronic Health Record (EHR) and other case management databases.

Data Entry and Accuracy: 

• Ensure proper entry of case management data, tracking patient progress, interventions, and outcomes. Maintain data integrity and make sure it is available for reporting and audits.

Support Case Management Analytics:

• Help with the analysis of case management data to identify trends, patterns, and areas for improvement in patient care and operational efficiency. Provide reports and insights as needed to support decision-making.

Assist in Data Reporting: 

• Support the preparation of case management reports for internal and external stakeholders, ensuring that all necessary data is compiled and formatted according to hospital and regulatory requirements.

Adhere to Key Process Standard Work: 

• Follow Key Process Standard Work (KPSW) to ensure all case management activities are completed in a consistent, efficient, and compliant manner. This includes adhering to established workflows, guidelines, and best practices to enhance quality and improve patient outcomes.

Process Standardization: 

• Support the consistency and reliability of case management operations by adhering to defined processes and protocols.

Continuous Improvement: 

• Participate in the review and continuous improvement of key processes, ensuring they align with hospital goals and patient care standards.

Resource Coordination:

• Assist in identifying and coordinating patient access to community resources, including home health services, durable medical equipment, transportation, and financial assistance programs.

Compliance and Regulatory Adherence:

• Ensure that patient care activities comply with health care laws, regulations, and hospital policies. Protect patient privacy in accordance with HIPAA and other applicable laws and regulations.

Collaborative Communication: 

• Work closely with multidisciplinary teams, including physicians, nurses, social workers, and insurance providers, to ensure seamless care planning and efficient patient needs.

Quality Improvement Initiatives: 

• Participate in quality improvement efforts related to patient care, outcomes, and case management processes. Provide input to streamline processes and improve patient satisfaction.

Patient Advocacy: 

• Advocate for patients and families by providing education and emotional support regarding care plans, insurance coverage, and discharge processes. Ensure that patients' needs are addressed throughout their hospital stay.