Integrated Case Manager: Insurance & Care Coordination

Hackensack Meridian Health; Hackensack (NJ); On-site; USD 25,000 - 35,000; Full time

Job summary

Hackensack Meridian Health seeks an Integrated Case Management Specialist to support insurance management, payer communications, and discharge processes. This role collaborates with Care Coordinators and uses EPIC to manage data and denials.

You will coordinate Medicaid appointments, assist with discharge planning, and provide documentation for Medicare letters. Strong communication and problem-solving are required.

Qualifications

• HS diploma or GED required.
• Experience in the healthcare industry.
• Effective written, oral, and interpersonal communications skills.
• Proficient with computer, word processing and Excel.
• Ability to learn EPIC and INDICIA systems.
• Strong time management and priority-setting skills.
• Ability to work independently and as a team member.
• Self-directed with initiative to solve problems.

Responsibilities

• Verify inpatient insurance coverage, pre-certs, authorized days and review needs.
• Contact admitting to obtain necessary information.
• Daily log reconciliation.
• Use EPIC to retrieve information to support case management and utilization review.
• Enter LAD into EPIC.
• Enter denials/lower level of care documentation in EPIC.
• Coordinate with insurance for benefits and authorizations.
• Answer phones and perform office support duties.
• Assist Care Coordinators and act as interpreter if certified.
• Participate in quality improvement efforts.

Skills

Communication skills

Interpersonal skills

Computer skills

EPIC/INDICIA proficiency

Time management

Independent worker

Team player

Problem solving

Education

HS diploma or GED

BSW/CSW preferred

Tools

EPIC

INDICIA

Job description

Hackensack Meridian Health seeks an Integrated Case Management Specialist to support insurance management, payer communications, and discharge processes. This role collaborates with Care Coordinators and uses EPIC to manage data and denials.

You will coordinate Medicaid appointments, assist with discharge planning, and provide documentation for Medicare letters. Strong communication and problem-solving are required.