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Case Management Coordinator - Ambulatory Care Management

Company: Cedars-Sinai
Location: Beverly Hills
Posted on: September 23, 2022

Job Description:

Case Management Coordinator - Ambulatory Care ManagementThe Case Management Coordinator provides support to the ambulatory case management processes. In addition, 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.Job Duties and Responsibilities:

  • Coordinates follow-up care and appointments with pts care team (PCP, Specialist, pharmacist, etc.)
  • Review home health and DME referrals as needed.
  • 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, captures information and tracks all patients referred to the ACM/disease state management programs.
  • Assist in coordinating care for specific high risk/high cost patient population, including referrals to community resources, facilitation of medical services, referral to ancillary providers, etc.
  • Detail all patient specific information in appropriate information systems.
  • Assist in verifying health plan benefits and coordinating ambulatory services.
  • Assumes other duties as delegated.Education:High school diploma or GED required.Experience:One (1) year of healthcare experience, a general knowledge of medical terminology and experience with community resources and social supports required. Preferred qualifications include previous utilization management or managed care experience.Word processing spreadsheet skills also preferred. Beverly Hills, California, United States Beverly Hills, California, United States Beverly Hills, California, United States

Keywords: Cedars-Sinai, Beverly Hills , Case Management Coordinator - Ambulatory Care Management, Executive , Beverly Hills, California

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