Care Management Coordinator - Inpatient Specialty ProgramRequisition # 19005139 Apply Now
The Case Management Coordinator provides support to the inpatient and ambulatory case management processes. The coordinator reviews hospital admissions and discharge information on a daily basis and enters and updates referrals into the IDX system as needed. In addition, the coordinator assists in identifying, tracking and coordinating services for patients who fall under/qualify for the department's ambulatory and disease state management programs. These patient populations include medically and socially fragile patients, patients who inappropriately access services, and patients who have complicated medical regimes and need additional assistance.
Review hospital admissions information and enter/update inpatient, SNF, home health and DME referrals as necessary.
Print and distribute daily census.
Seek and accept referrals for target patient populations, i.e. fragile seniors, catastrophic and transplant cases, frequent utilizer of ER and inpatient services, and patients diagnosed with specific diseases (cancer, asthma, COPD, AIDS, etc.).
Act as a liaison, gather information and track all patients referred to the ACM/disease state management programs.
Assist in coordinating care for specific high risk/high cost patient population, including referrals t community resources, facilitation of medical services, referral to ancillary providers, etc.
Document all patient specific information in appropriate information systems.
Assist in verifying health plan benefits and coordinating ambulatory services.
Assume other duties as delegated.
High school diploma or GED required.
At least one year of healthcare experience, a general knowledge of medical terminology and experience with community resources and social supports. Preferred qualifications include previous utilization management or managed care experience. Word processing spreadsheet skills preferred.
- Working Title: Care Management Coordinator - Inpatient Specialty Program
- Department: MNS ISP
- Business Entity: Medical Network
- City: Los Angeles
- Job Category: Patient Services
- Job Specialty: Case Management
- Position Type: Full-time
- Shift Length: 8 hour shift
- Shift Type: Full-time
Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at Applicant_Accommodation@cshs.org and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.
Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.
At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu). For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through March each year) as a condition of employment, and annually thereafter as a condition of continued employment.
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