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SalaryURGENTLY HIRING for a Case Manager with a well known Rehabilitation Institute in Century City, CA!
ONSITE M-F 8am-5pm
Interviews- 4/29-5/2
Description:
- responsible for developing and maintaining working relationships with clinical treatment team members, i.e.: medical, psychology, nursing, therapy, therapeutic recreation, vocational and dietary, in order to assure clinical outcomes that are appropriate, cost-effective, and beneficial to the patient
- Coordinates with Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient
- Develops and maintains updated departmental materials and patient education materials
- Conducts chart audits on a regular basis to maintain compliance
-Handles payer responsibilities and referral sources
- Overseeing negotiations of continued stay rationale, length of stays, and appeals process
- Initiates activities to develop positive business relationships with payers and referral sources in order to promote repeat business
- Assures responsiveness to payer systems by maintaining ongoing communication and serving as the primary contact for all external payer sources, in turn generating revenue, enhancing reimbursement, minimizing financial risk and assuring payment for the hospital
- Maintains a thorough understanding of insurance coverage and benefits, providing interpretation to patients/families of their insurance and providing patient advocacy
Skills:
Multi tasking, customer service, insurance coverage
Additional Skills & Qualifications:
CCM Certification Preferred
Previous experience in Case Management and Discharge Planning preferred
Experience Level:
Intermediate Level
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