Case Management Coordinator

Job Overview
We are seeking a dedicated and detail-oriented Case Management Coordinator to join our healthcare team. This role involves coordinating patient care plans, ensuring seamless communication among healthcare providers, and supporting patient needs throughout their treatment journey. The ideal candidate will have a strong background in medical coding, hospital experience, and knowledge of behavioral health, pediatrics, and discharge planning. The Case Management Coordinator plays a vital role in optimizing patient outcomes while maintaining compliance with HIPAA regulations and medical records management.

Location: San Gabriel, CA

Shift: M-Th, 7am-6pm

Pay: $20-$25/hr

Duties

• Comply with CM policies and procedures. Annual review of selected CM policies
• Provide support to case managers on day-to-day activities
• Sort, stamp and distribute incoming faxes
• Obtain in-patient discharge orders, clinical documents and follow-up discharge plan dates
• Communicate with Hospitals, SNF, Acute Rehab & other admitting facilities on status/updated discharge plan
• Provide authorization(s) for services requested on discharge (i.e., DME, Home Health, others)
• Update authorization notes to include the status of tracking number
• Notify admitting facility case management team & medical group case manager(s) all discharge needs of patient(s) status
• Assist in researching problems that occurs in case management department in a timely fashion
• Responsible for follow-up and returning department calls
• File and scan hospital records as assigned
• Report to CM Lead 3, supervisor & manager on activities or problems occurring throughout the day
• Attend to provider and interdepartmental calls in accordance with exceptional customer service
• Demonstrate professional responsibility in the role of Discharge Planner
• Coordinating/Managing all discharges from In Patient and SNF. Handles at least 15-40 discharges a day
• Arranging/Coordinating all D/C plan to Home Health, Hospice, IV and DME
• Follow up call to Home Health admitted on a weekends
• Creating/approving Authorizations/ cases for Home Health, Hospice, DME and IV
• Responsible for reviewing TARS 30-70 a day (Treatment Authorization Request) and approving it
• Doing on-call after office hours/weekends when needed a coverage

Minimum Qualifications

• High School Graduate or equivalent
• A minimum of 2 year experienced in managed care environment to include but not limited to an IPA or MSO preferred
• Knowledge of medical terminology, RVS, CPT, HPCS, ICD-9 codes
• Proficient with Microsoft applications’ and EZCAP
• Good organizational skills
• Good verbal and written communication skills
• Must have the ability to multitask and problem solve in a fast pace work environment

If interested apply! Or message me for more info!

Randall Primary

Job Types: Full-time, Contract

Pay: $20.00 - $25.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Vision insurance

Experience:

• Managed care: 2 years (Preferred)

Work Location: In person

Salary : $20 - $25