Care Coordination Specialist

2 weeks ago


Oakland, California, United States Highland General Hospital Full time
Job Overview:

We are seeking a dedicated Care Management Specialist to enhance our operational efficiency at Highland General Hospital. This role is essential in providing administrative support to our healthcare professionals, particularly in the areas of care coordination and discharge planning.

Key Responsibilities:
  • Serve as a critical link between clinical personnel, admissions, and insurance providers.
  • Secure necessary authorizations for patient admissions while ensuring the integrity of financial documentation.
  • Facilitate referrals to outside facilities and healthcare providers.
  • Oversee patient transfers and keep the team informed of their status.
  • Communicate vital updates and audit information to the Care Management team.
  • Prepare and submit documentation for insurance claims.
Essential Qualifications:
  • High School Diploma or equivalent.
  • A minimum of three years of experience in a healthcare setting or one year in Utilization Management is preferred.
  • Proficiency in Electronic Health Record (EHR) systems and Case Management software.


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