What are the responsibilities and job description for the Case Management Coordinator position at Astrana Health, Inc.?
Description Assist Case Manager(s), Specialist, Supervisor & Manager in assigned area of responsibility, including compiling information (open & close inpatient cases), fax authorization letters to providers, including sending denial letters and keeping records. Provide and coordinate information with outside agencies.Our Values: Put Patients FirstEmpower Entrepreneurial Provider and Care TeamsOperate with Integrity & ExcellenceBe InnovativeWork As One TeamWhat You'll DoComply with CM policies and procedures. Annual review of selected CM policiesProvide support to case managers on day-to-day activitiesSort, stamp and distribute incoming faxesCreate authorization/tracking numbers for all discharge planning admissionsObtain in-patient discharge orders, clinical documents and follow-up discharge plan datesCommunicate with Hospitals, SNF, Acute Rehab & other admitting facilities on status/updated discharge planProvide authorization(s) for services requested on discharge (i.e., DME, Home Health, others)Update authorization notes to include the status of tracking numberNotify admitting facility case management team & medical group case manager(s) all discharge needs of patient(s) statusAssist in researching problems that occurs in case management department in a timely fashionResponsible for follow-up and returning department callsFile and scan hospital records as assignedReport to CM Lead 3, supervisor & manager on activities or problems occurring throughout the dayAttend to provider and interdepartmental calls in accordance with exceptional customer serviceDemonstrate professional responsibility in the role of Discharge PlannerCoordinating/Managing all discharges from In Patient and SNF. Handles at least 15-40 discharges a dayArranging/Coordinating all D/C plan to Home Health, Hospice, IV and DMEFollow up call to Home Health admitted on a weekendsCreating/approving Authorizations/ cases for Home Health, Hospice, DME and IVResponsible for reviewing TARS 30-70 a day (Treatment Authorization Request) and approving itDoing on-call after office hours/weekends when needed a coverage Qualifications High School Graduate or equivalentA minimum of 2 year experienced in managed care environment to include but not limited to an IPA or MSO preferredKnowledge of medical terminology, RVS, CPT, HPCS, ICD-9 codesProficient with Microsoft applications’ and EZCAPGood organizational skillsGood verbal and written communication skillsMust have the ability to multitask and problem solve in a fast pace work environmentYou're great for this role if:Punctuality, precision with details, creativity, etc. would be helpful for this positionAbility to follow directions and perform work independently according to department standardsAble to function effectively under time constraintAble to maintain confidentiality at all timesWillingness to accept responsibility and desire to learn new taskAbility to comply and follow company policies and proceduresMust be a strong team player, punctual and have excellent attendance record Environmental Job Requirements and Working ConditionsOur organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The position is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.This role will require visiting patients in our partnered hospitals.The target pay range for this role is between $20.00 - $25.00 per hour. The salary range represents our national target range for this role.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditioos), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Salary : $20 - $25