Case Management Coordinator

Astrana Health; Monterey Park (CA); Hybrid; USD 24,796 - 34,440; Full time

Job summary

Astrana Health is seeking a Case Management Coordinator in Monterey Park, CA. This role involves assisting case managers in managing patient discharges, compiling case information, and providing support to healthcare teams. Candidates should have a high school diploma, a minimum of two years of experience in a managed care environment, and strong communication skills. The position offers a hybrid work schedule with compensation ranging from $18.00 to $25.00 per hour.

Qualifications

• High School Graduate or equivalent is required.
• A minimum of two years experience in managed care environment preferred.
• Knowledge of medical terminology and codes (RVS, CPT, HPCS, ICD-10) is necessary.
• Proficient in Microsoft applications and good organizational skills are needed.

Responsibilities

• Assist Case Manager(s) and handle inpatient case information.
• Provide support to case managers on day-to-day activities.
• Coordinate discharge plans and authorization for services.
• Report to supervisors on daily activities and issues.

Skills

Knowledge of medical terminology

Proficient with Microsoft applications

Good organizational skills

Good verbal and written communication skills

Ability to multitask

Education

High School Graduate or equivalent

Two years experience in managed care

Tools

EZCAP

Job description

Location: 1600 Corporate Center Dr., Monterey Park, CA 91754

Compensation: $18.00 - $25.00 / hour

Department: HS - ICM

Job Title: Case Management Coordinator

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 occur 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 two year experience in managed care environment to include but not limited to an IPA or MSO preferred
• Knowledge of medical terminology, RVS, CPT, HPCS, ICD-10 codes
• Proficient with Microsoft applications’ and EZCAP
• Good organizational skills
• Good verbal and written communication skills
• Must have the ability to multitask and solve problems 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

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. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Equal Employment Opportunity Statement:

Astrana Health is proud to be an Equal Employment Opportunity and Affimative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), 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 [e-mail] 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.