Cedars-Sinai Case Management Coordinator in Beverly Hills, California

Requisition #: M11906
Working Title: Case Management Coordinator
Business Entity: MDN - Medical Delivery Network
Cost Center # - Cost Center Name: 0861072 - MNS ACO
City: Beverly Hills
Job Category: Clerical/Administrative
Job Specialty: Entry Level Clerical
Position Type: Regular-F/T
Shift Length: 8hr
Hours: 8:00 a.m. - 5:00 p.m.
Days: Monday - Friday
Shift Type: Day
Weekends: None

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.

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Cedars-Sinai is an EEO employer. Cedars-Sinai does not unlawfully discriminate on the basis of 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, 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 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.