Case Management Coordinator II

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Join to apply for the Case Management Coordinator II (Part-time) role at Astrana Health

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Compensation: $22.00 - $25.00 / hour

Department: HS - ICM

Location: 600 City Parkway West 10th Floor, Orange, CA 92868

Compensation: $22.00 - $25.00 / hour

Description
Job Title: Case Management Coordinator
Department: Health Services – ICM
This is a part-time position.
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
• Proficient with Microsoft applications' and EZCAP
• 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
  

Environmental Job Requirements and Working Conditions

• This is a remote role. The home office is aligned with your department at 600 City Parkway West, 10th Floor, Orange, CA 92868.
• The total compensation target pay range for this role is $20.00 - $25.00 per hour. The salary range represents our national target range for this role.
• This role target 16 hours per week (8 hours required for weekdays, Rotating weekend shifts required).
• Working shifts fall between 8:00 AM - 5:00 PM.

Seniority level

• Seniority level Entry level

Employment type

• Employment type Part-time

Job function

• Job function Other
• Industries Hospitals and Health Care

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