Job Posting: 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 Authorization 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. ESSENTIAL JOB DUTIES:
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 populations from Case Manager, i.e. fragile seniors, catastrophic and transplant cases, frequent utilizers of ER and inpatient services, and patients diagnosed with specific diseases (cancer, asthma, COPD, AIDS, 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. ORGANIZATIONAL EXPECTATIONS: Demonstrates behavior, which supports the Cedars-Sinai Health System mission. Attends required orientation and training seminars. Meets production standards within established time requirements. Work product and performance meets quality standards. Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers, and co-workers--a team player. Maintains confidentiality of patient care and business matters. Observes time, attendance, and dress code standards. Protects the safety of others and of the physical plant and equipment, following institution policies, fire, safety and infection control regulations.
Qualification Requirements/Preferences: Education Certifications/Licensure Experience Physical Abilities MINIMUM JOB REQUIREMENTS/COMPETENCIES: High school diploma, 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 and spreadsheet skills also preferred.
Providing healthcare for more than 100 years, Cedars-Sinai has evolved into one of the most dynamic and highly renowned medical centers in the world. Along with caring for patients, Cedars-Sinai is a hub for biomedical research and a training center for future physicians and other healthcare professionals. This attracts exceptional talent to Cedars-Sinai, including world-renowned physician-scien...tists who seek a place where they can both conduct research and see patients--the ideal formula for discovery and its translation into cures. Our patients benefit from access to doctors at the top of their fields, and our researchers have an ideal community in which to study the impact of healthcare challenges, and reflect that knowledge in their research. The greater Los Angeles area in which Cedars-Sinai resides possesses unparalleled cultural and ethnic diversity which offers outstanding opportunities for translational and clinical research and a dynamic environment for medical education.Although community based, Cedars-Sinai is a major teaching hospital affiliated with the David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Cedars-Sinai has highly competitive graduate medical education programs in more than 50 specialty and subspecialty areas, a graduate program in biomedical sciences and translational medicine, a clinical scholars program directed towards junior physicians with aspirations to become clinical scientists, and post graduate training opportunities.There are more than 250 full-time faculty members at Cedars-Sinai. The voluntary medical staff, comprised of more than 2,200 specialty board-certified or board-qualified physicians, represent all of the specialties and subspecialties and collaborate with full-time medical staff in the teaching responsibilities of the graduate medical education programs.