Case Management Coordinator hybrid

3 weeks ago

Monterey Park, United States Astrana Health Full time

Job Title: Case Management Coordinator
Department: Health Services - ICM

**About the Role**:
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.

**What You'll Do**:

- 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
- Create authorization/tracking numbers for all discharge planning admissions
- 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

**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
- Good organizational skills
- Good verbal and written communication skills
- Must have the ability to multitask and problem solve in a fast pace work environment

**You're great for this role if**:

- Punctuality, precision with details, creativity, etc. would be helpful for this position
- Ability to follow directions and perform work independently according to department standards
- Able to function effectively under time constraint
- Able to maintain confidentiality at all times
- Willingness to accept responsibility and desire to learn new task
- Ability to comply and follow company policies and procedures
- Must be a strong team player, punctual and have excellent attendance record

**Who We Are**:
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 12,000 physicians to provide care for over 1.3 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

**Our Values**:

- _ Put Patients First_
- _ Empower Entrepreneurial Provider and Care Teams_
- _ Operate with Integrity & Excellence_
- _ Be Innovative_
- _ Work As One Team_

**Environmental Job Requirements and Working Conditions**:

- Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.
- The total compensation target pay range for this role is $18.00 - $25.00 per hour. The salary range represents our national target range for this role.

**Additional Information**:

  • Denial Coordinator

    6 days ago

    Monterey Park, United States Astrana Health Full time

    Description Job Title: Denial Coordinator Department: Health Services - DenialsAbout the Role: Astrana Health is looking for a Denial Coordinator. This role will report to a Manager-Denial and enable us to continue to scale in the healthcare industry. This is a hybrid role where the expectation is to work both in the office and at home on a weekly basis....

  • Case Manager, RN/LVN

    2 weeks ago

    Monterey Park, CA, United States Astrana Health Full time

    DescriptionJob Title: Case Manager - LVN/RNDepartment: Health Services - ICMAbout the Role: Astrana Health is looking for a RN/LVN Case Manager and we are willing to train a RN or LVN with case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need.What You'll Do: Comply with Case...

  • RWSHR - Sales & Catering Coordinator

    2 days ago

    Menlo Park, United States Sales & Catering Coordinator Full time

    OVERVIEW/BASIC FUNCTIONResponsible for the coordination and smooth running of all aspects and functions of the Sales & Catering Department in accordance to Rosewood Sand Hill standards. Acts as the lead communication touch point for both internal and external customers. Acts as a support function for both the Director of Sales & Marketing and the Sales...

  • Patient Care Coordinator

    4 weeks ago

    Monterey Park, United States Astrana Health Full time

    **Job Title**: Patient Care Coordinator (HYBRID) **Department**:Quality - Clinical Operations **About the Role**: We are looking for a Patient Care Coordinator to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and...

  • Patient Care Coordinator

    3 days ago

    Monterey Park, United States Astrana Health Full time

    DescriptionJob Title: Patient Care Coordinator (HYBRID) Department: Quality - Clinical Operations About the Role: We are looking for a Patient Care Coordinator to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and...

  • Travel Nurse RN

    5 days ago

    Monterey, United States Cross Country Nurses Full time

    Cross Country Nurses is seeking a travel nurse RN Case Management for a travel nursing job in Monterey, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: 06/10/2024Duration: 13 weeks36 hours per weekShift: 12 hours, daysEmployment Type: TravelJob DescriptionAs a case management nurse (RN CM), you will collaborate...

  • Case Manager/housing Navigator

    1 week ago

    Monterey, United States Community Human Services Full time

    **Case Manager/Housing Navigator, Shuman HeartHouse** Salary $51,891-$63,075 per year D.O.E. Additional 5% if Bilingual (E/S). Generous benefits package including medical, dental, and vision coverage. AA/EOE. E04JI8000gud403eces

  • Exceptional Family Member Case Liaison

    1 month ago

    Monterey, United States Commander, Navy Installations Full time

    Summary The primary purpose of this position is to serve as the installation non-clinical case liaison for the Exceptional Family Member Program (EFMP). Serves as a liaison and works closely with military families to coordinate services and supports with health care professionals, military and community service agencies, recreational programs, and...

  • Case Manager

    2 months ago

    Highland Park, United States RCHP-AHC Reformed Church of Highland Park Affordable Housing Corp. Full time

    **Job Description** -** I-RISE Case Manager - **Interfaith-RISE - Reformed Church of Highland Park Affordable Housing Corporation **Position Description** This position will be located in both the Highland Park and Neptune (Monmouth County) satellite office. The Case Manager provides case management to refugee families, inclusive of pre-arrival planning...

  • RN- Case Manager

    3 days ago

    Overland Park, United States KPC Promise Healthcare LLC Full time

    Job DescriptionJob Description KPC Promise Hospital of OVERLAND PARK: The Case Manager is responsible for coordinating and monitoring day to day operations of the Case Management and Utilization Management programs. He/She directs the activities necessary to ensure appropriate utilization of the Hospital and its resources while maintaining optimal achievable...

  • RISE Case Manager

    3 days ago

    Oak Park, United States Housing Forward Full time

    Job DescriptionJob DescriptionJOB SUMMARY:This position provides rotating support to the Medical Respite Programs at the RISE Center and Sojourner House. This position serves as the Case Manager providing initial intake, ongoing case management, basic support and ensuring the safety of clients during their stay in the programs. This position will also...

  • RISE Case Manager

    5 days ago

    Oak Park, United States Housing Forward Full time

    JOB SUMMARY: This position provides rotating support to the Medical Respite Programs at the RISE Center and Sojourner House. This position serves as the Case Manager providing initial intake, ongoing case management, basic support and ensuring the safety of clients during their stay in the programs. This position will also possibly provide evening coverage,...

  • Case Manager

    5 days ago

    Oak Park, United States West Suburban Medical Center Full time

    For over 100 years, West Suburban Medical Center has supported generations of families in the Oak Park and surrounding areas. Our kind, caring hospital staff have a passion to heal and make a difference in our community. We understand that our employees are the heart of our facility. If you are looking for a family atmosphere, a company committed to...

  • RN Case Manager

    3 weeks ago

    Orland Park, United States Dupage Medical Group Full time

    RN Case Manager - Care AllyOverview * Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed * Location: Orland Park Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the...

  • RN Case Manager

    3 weeks ago

    Tinley Park, United States Dupage Medical Group Full time

    RN Case Manager - Care AllyOverview * Full-Time, 40 hours per week. Monday through Friday, 8:00 a.m. to 5:00 p.m.; flexibility to work later as needed * Location: Tinley Park Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the...

  • Case Manager RN

    4 days ago

    Overland Park, Kansas, United States HCA Healthcare Full time

    Description IntroductionDo you have the career opportunities as a Case Manager RN you want with your current employer? We have an exciting opportunity for you to join Overland Park Regional Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsOverland Park Regional Medical Center, offers a total rewards...

  • Hospice RN Case Manager

    15 hours ago

    Park, United States Interim HealthCare Full time

    As a Hospice RN Case Manager (RN) you will be called to care when you’re needed most. As part of Interim HealthCare, you’ll support a full range of patient services to bring comfort and dignity to our clients. This position is out of our Columbus, IN location (Lawrence, Jackson, Monroe, Brown, and Bartholomew counties)What we offer our Hospice RN Case...

  • Records Coordinator

    15 hours ago

    Palisades Park, United States Lateral Link Full time

    Elite firm is looking for a Records (Case Management) Coordinator to join their team.After training period will consider hybrid work schedule.Must be very well versed with logging and tracking legal documents and possess advanced Microsoft Office skills, especially in Word (creating mail merges).Experience with Salesforce or Litify Legal Software is a huge...

  • Records Coordinator

    9 hours ago

    Palisades Park, United States Lateral Link Full time

    Elite firm is looking for a Records (Case Management) Coordinator to join their team.After training period will consider hybrid work schedule.Must be very well versed with logging and tracking legal documents and possess advanced Microsoft Office skills, especially in Word (creating mail merges).Experience with Salesforce or Litify Legal Software is a huge...

  • Travel Nurse RN

    5 days ago

    Monterey, United States PHP Full time

    Job DescriptionPHP is seeking a travel nurse RN Case Management for a travel nursing job in Monterey, California.Job Description & RequirementsSpecialty: Case ManagementDiscipline: RNStart Date: ASAPDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPerks: PHP benefits:Weekly pay,Health insurance, Vision insurance, Dental...