Reporting to the CMRS Manager, the Case Management Resource Specialist (CMRS) works collaboratively with the Discharge Planning RN Case Managers; providing direct administrative support to the discharge planning processes and to the department. The person in this position will spend time on the clinical units and have direct interaction with patients and their families, clinical and ancillary hospital staff, and other internal and external customers. The CMRS must have strong communication skills and the ability to converse comfortably with patients and their caregivers, department staff, and unit-based staff. The position requires a high degree of flexibility, independence and willingness to participate in multiple activities and provide support to all members of the Case Management Department.
Work collaboratively with Case Managers to support patients discharge plan and care needs along the continuum. This may include, but is not limited to:
* Support and coordination of referrals to internal and external resources, such as
rehabilitation facilities, VNAs, hospice, DME providers, high tech vendors
* Actively manages 4NEXT referrals along the continuum of care, including communication with facilities, agencies, and vendors to promote patient progression to discharge and effective transitions of care.
* Researches and secures out of state and in-network VNAs and facilities
* Secures DME and oxygen for post-acute needs; maps insurance and geography to identify
appropriate vendors: assesses insurance benefits and coordinates the necessary paperwork with
the external vendors and medical team for approval for equipment, such as letters of medical
necessity, medical record documentation, and prescriptions. Arranges for and tracks delivery of
equipment prior to or post-discharge.
* Works collaboratively with the Case Manager, Brewster Ambulance Services Transportation Coordinator and the VPNE care van ambassador to coordinate the various modes of discharge transportation.
* Supports the Capacity Coordination Center Case Manager to facilitate network-affiliate hospital to hospital repatriations and with the unit-based CM for non-affiliate repatriations.
* Identify and refer to community services, as indicated
* Accesses and navigates the EMR to obtain essential information and documents CMRS progress notes and Resource Specialist Quick Notes per department standards.
Research community resources and programs available for patients and their caregivers including,
but not limited to: