Care Management Coordinator

Brea, CA 92821

Post Date: 04/18/2018 Job ID: 42506 Profession: Medical Administrative

Looking to move from a clinical setting into an office setting? Open to working part-time on the weekends? Have experience as a medical assistant, case coordination or utilization review? Looking to work for a large player in the Orange County market? This is the job for you!! This MSO provides full range of managed healthcare services, including the effective management of risk arrangements, for independent practice associations, medical groups, hospitals, and other managed care organizations. Immediate position available to support the Case Managers and the Utilization Management team to facilitate the case management process. This postion require the employee to work every other weekend both Saturady and Sunday with an opportunity to work an additional 2 to 4 days a month during the week. Onsite at the Brea location, working 8-5

Job Function:

  • Evaluating referrals from multiple internal and external sources
  • Preparing and maintaining case management reports to ensure compliance
  • Meeting deadlines for report submittal
  • Obtaining referral authorizations
  • Assisting in review process
  • Processing discharge documents
  • Reviewing authorization
  • Following up with Doctor's office
  • Assisting Case Manager with clerical and administrative needs
  • Re-verifying benefits and eligibility of cases
  • Taking triage calls
  • Assisting with reviewing current patient cases

Special Talents:

  • Strong follow up skills
  • Ability to communicate with both internal staff and external contacts
  • Very conscientious and confidential
  • Deadline driven

Requirements:

  • 2-3+ years experience as a Medical Assistant or experience in handling case review and utilization review
  • Strong understanding of patient treatment and care as well as the ability to juggle multiple cases and patients at once
  • Intermediate Word and basic Excel skills
  • Fluent in Spanish
  • Admitting or ER unit Administrative Experience a plus.


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