Experience Inc. Jobs

Case Management Associate

Location: Century City, CA 90067(100% Onsite)

Interview:

Position Can interview as early as 4/25

Pay: $48-52/hr (based on experience)

Job Summary:

We are looking for experienced Case Managers that will have an average case load of 15-20 patients, caseload may vary based on experience and ability. Our Case Managers help with discharge planning and work with an interdisciplinary team. Our Patients have a high discharge to home rate.

The primary job functions in Case Management include: Clinical Interventions/Discharge and Care Planning Management; Fiscal Management; and Payer/Referral Management.

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

Qualifications:

• 3-5 years of experience as a Case Manager

• Current licensure in a clinical discipline per state guidelines (RN, SW preferred)

• Previous experience in Case Management and Discharge Planning preferred

• CCM Certification Preferred

Experience Level:

Intermediate Level

If you interested in this position please apply and email your resume to jgarrolini @teksystems.com

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.