Case Management Inpatient Care Coordinator

Job Number: 1758

Workplace Type:

Position Title: Case Management Inpatient Care Coordinator

External Description:

Case Management Inpatient Care Coordinator

 

Position Summary:

The Care Coordinator is responsible for Inpatient Care Coordinator functions as defined below:

 

General Duties/Responsibilities:

(May include but are not limited to)

• Assist team with Daily census by entering Face sheets for hospitals and SNF’s
• Obtain medical records from hospitals and SNF’s
• Attach medical records to authorizations
• Enter referral requests/authorizations in system using ICD 9 and CPT coding
• Monitor Fax Folders
• Complies with tasks assigned by nurse and, as appropriate, documents accordingly.
• Maintains documentation on facilities contacted.
• Assists with maintaining and updating member’s records
• Assists with mailing or faxing correspondence to facilities, related to, as needed.
• Requests medical records from facilities, etc., related to members activities, as needed.
• Attends Case Management presentations and participates, as appropriate.
• Recognizes work-related problems and contributes to solutions.
• Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs).
• Maintains confidentiality of information between and among health care professionals.
• Other duties as assigned by CM Supervisor, Manager or Director of Healthcare Services.

Minimum Education and/or Experience:

• High school diploma or general education degree (GED); with one to three months related experience and/or training; or equivalent combination of education and experience. No licensure required.
• Knowledge of ICD9 and CPT codes
• Knowledge of Managed Care Plans and medical terminology
• Experience entering referrals and prior authorizations
• Other:
• Basic Computer Skills, 25 WPM (Microsoft Outlook, excel, word
• Bilingual (English/Spanish) preferred
• Medical Terminology Certificate preferred
• Knowledge working in Access Express/Portal, epic, essett (not mandatory)
• Good oral, written and telephone skills

Skills and Abilities:

• Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals.  Ability to write routine reports and correspondence.  Communicates effectively using good customer relations skills.
• Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10’s and 100’s.  Ability to perform these operations using units of American money and weight measurement, volume, and distance.
• Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.  Ability to deal with problems involving a few concrete variables in standardized situations.
• Computer Skills: Basic skills required.

Other Skills and Abilities:

• Good organizational skills
• Ability to reason and carry out instructions.
• Good interpersonal skills.
• Read, write and speak English fluently.
• File systematically.

 

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Case Management Inpatient Care Coordinator

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].