Assistant Case Manager

4 months ago


Northridge, United States ACT Medical Group Full time
Assistant Case Manager
Report to: Case Manager

Working hours: 
  • 8:30 am to 5:00 pm
  • Mon to Fri
Job Description:Responsible for coordinating hospice services for managed care patients which includes establishing and maintaining the patient's plan of care, establishing and maintaining positive relationships with managed care customers and related referral sources, and negotiating service agreements.
Job Responsibilities:
  1. 1. Coordinates hospice services for managed care patients, assists with the establishment of the plan of care in coordination with the Case Manager and ensures a seamless transition to hospice.
  2. 2. Collaborates with inpatient utilization review departments and managed care organizations to facilitate safe, early inpatient discharge.
  3. 3. Verifies insurance coverage obtains initial authorizations for services and seeks reauthorization for ongoing or additional services.
  4. 4. Works with Clinical Supervisor and Staff Clinicians to gather, collate, and report patient care summary information to the Case Manager.
  5. 5. Promotes maximum third-party reimbursement through price negotiations with managed care organizations within the established financial, credit and contractual parameters.
  6. 6. Maintains comprehensive working knowledge of managed care contractual relationships and ensures that patients are admitted and services are delivered in accordance with contract provisions.


About ACT Medical Group:

Our care providers, we call accelerated caregivers™, undergo a thorough selection process, screening, and specialized training to ensure they meet the compassionate care standards set by our organization. We employ our unique Empowering Care™ approach to caregiving, designed to promote client autonomy and self-sufficiency. Our goal is to help our clients remain functional for as long as possible, thereby fostering a sense of independence and contributing to their overall health and well-being. We recognize the challenges families encounter when a loved one requires additional in-home support, and we’re here to assist. Our caregiving professionals lighten this burden by delivering skilled, personalized home care services. Accelerated caregivers are committed to bringing joy, purpose, and uplifting support to seniors on a daily basis. Our mission has been to enrich the lives of seniors today and inspire and develop our caregivers for tomorrow.



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