Case Manager
Your Health Inc
4 days ago Be among the first 25 applicants General Description The role of the Case Manager is responsible for ensuring a smooth registration process for new patients and efficient appointment scheduling for new and existing patients. The Case Manager will coordinate appointments between patients and appropriate healthcare providers in accordance with the Company’s policies and procedures, maintain accurate records, and provide exceptional customer service. This is a full‑time position working 12‑hour shifts (7 a‑7 p) on a track schedule: 7 days on & 7 days off. Areas of Responsibility Appointment Scheduling: Schedule appointments for patients with healthcare providers based on availability, medical urgency, and patient preferences. Ensure all providers (including pharmacists, medical social workers, nurses, etc.) are scheduled optimally. Patient Communication: Interact with patients via email, patient portal, telephone, text, in‑person, etc. to gather necessary information, schedule and confirm appointments, and provide pre‑appointment instructions. Respond to inquiries, resolve conflicts, and assist with rescheduling. Records Management: Maintain accurate, up‑to‑date patient records, including demographic, contact, insurance, and appointment history data. Ensure confidentiality and comply with privacy regulations. Coordination with Healthcare Providers and Staff: Collaborate closely with care team members and other staff to ensure optimal scheduling and coordination of patient care. Communicate changes, cancellations, or rescheduling to relevant parties in a timely manner via phone, email, Teams, Athena, or in‑person. Insurance Verification: Verify insurance coverage and eligibility for patients, ensuring accurate documentation of insurance information. Collaborate with billing to address insurance‑related issues. Workflow Optimization: Continuously assess and improve appointment scheduling processes to enhance office efficiency and productivity. Identify improvement areas and propose solutions. Customer Service: Provide exceptional service to patients, exhibiting a compassionate and empathetic attitude. Address concerns and complaints professionally and promptly, striving to meet patient needs and satisfaction. Administrative Functions: Perform general administrative tasks and support other staff as needed. Work assigned buckets, ticklers, census lists, and region’s scheduling voicemail tasks using the company’s software systems. Collaboration and Coordination: Collaborate with internal and external resources to facilitate seamless operations. Communicate with patients, families, and caregivers. Must be available during normal work hours (unless approved by supervisor). Additional hours may be required for normal business functions or projects. Utilize the company’s software systems and update information as required. Participate in coaching calls. Perform other duties as requested or required at the sole discretion of the Company. Mission Expectations Communicate, endorse, and demonstrate the Company’s mission, vision, and values. Prompt and regular attendance. Adhere to standards of behavior, dress code, personnel department, and company policies. Attend in‑services and meetings on a regular basis. Promote a culture of outstanding customer service at all times. Make independent decisions when circumstances warrant. Work Environment May be exposed to housekeeping cleaning agents and chemicals, humidity, hot equipment, and/or noise. May be exposed to infections, communicable diseases, odors, bloodborne pathogens, excreta, and hazardous materials. Compliance with Policies and Procedures Comply with all federal, state, and local laws and regulations. Knowledge of and compliance with Patient’s Bill of Rights. Must be knowledgeable of Medicare guidelines, applicable laws and regulations, and the Company’s policies and procedures. Adhere to the Company’s Code of Conduct / Ethics. Exercise a high degree of confidentiality regarding patients, personnel, and the company. HIPAA compliant. Promote a culture of compliance. Physical Demands Lift, reach, bend, push, pull, use repetitive hand motions, walk, and carry simultaneously. Endure reaching, stooping, bending, kneeling, and crouching; walk and stand for periods; lift up to 50 pounds. Maintain good general health and demonstrate emotional stability. Qualifications High school diploma or equivalent required. Associate’s or bachelor’s degree in healthcare preferred. Previous experience in a medical or healthcare setting, preferably a scheduling or administrative role. Familiar with medical terminology, procedures, and insurance verification processes. Strong organizational and time‑management skills; ability to multitask and prioritize effectively. Read and communicate effectively. Strong written and verbal skills. Basic computer knowledge. Demonstrate effective leadership skills. Good interpersonal and communication skills in all conditions. Foster a cooperative work environment. Team player with ability to manage multiple responsibilities and demonstrate sound judgment. Work flexible hours and travel between offices/facilities. Must be a licensed driver with a vehicle. Seniority Level Entry level Employment Type Full‑time Job Function Strategy/Planning and Information Technology Industries Hospitals and Health Care #J-18808-Ljbffr
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