US Tech Solutions · 1 week ago
Non-Clinical - Administrative/Case Management Assistant
Whittier, CA
Full-time
Onsite
Entry Level
$25/hr - $28/hr
2+ years expUS Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. They are seeking an Inpatient Case Management Coordinator to support case managers and social workers by coordinating care, managing documentation, and ensuring timely communication with members and providers.
Information Technology
Responsibilities
Safeguards and preserves the confidentiality of patient’s protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital, and departmental policies
Ensures a safe patient environment and adherence to safety practices per policy
With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care
Update daily census reports by verifying member admissions and discharges
Communicate with members via phone and in person to assess needs, triage concerns, and facilitate problem-solving
Collaborate with case managers and social workers, including the leadership team as needed
Verify member eligibility and benefits to support care coordination efforts
Maintain understanding of managed care principles, risk arrangements, delegation of financial responsibility (DOFR) and compliance requirements
Schedule member appointments and arrange transportation as needed
Conduct follow-up calls with discharged patients to address ongoing needs and coordinate post-discharge care
Enter and update all inpatient admission authorizations accurately
Assist case manager with creating authorizations required for safe discharge
Facilitate delivery and tracking of required forms to adhere to health plan requirements
Prepare and distribute daily reports for patient rounds to ensure up-to-date patient information
Receive, review, label, and file incoming faxes daily to maintain accurate records
Ensure complete and accurate documentation in accordance with organizational and regulatory standards
Assist in completing of health plan reports, ensuring accuracy, and maintaining up-to-date logs
Collaborate with case managers and social workers, including the leadership team as needed
Foster positive, professional relationships with physicians, facility staff, and colleagues
Adhere to Enterprise policies and procedures, ensuring high-quality customer service
Work efficiently in a fast-paced environment, exhibiting strong multitasking abilities and attention to detail
Engage in professional development by attending department meetings, completing required trainings and participating in process improvement initiatives
Assist in training new hires to ensure a smooth onboarding process
Provide coverage for team members as needed
Perform other duties as assigned
Customer Service Values and Behaviours:
Value: Each person is treated with respect, dignity, fairness and compassion
Behaviour: Performance is acceptable when everyone is promptly greeted with a smile in a warm and caring manner using the person’s name whenever possible. No matter how I feel, I display a caring attitude
Value: Each person displays loyalty and pride and upholds the confidentiality of patients, visitors, physicians, and co-workers
Behaviour: Performance is acceptable when concerns/problems with fellow employees and customers are not discussed with anyone other than the person involved or the supervisor. Customer issues and ideas are listened to and appropriate follow up occurs to create a satisfied customer. I do not make excuses. I do not demean other people or departments
Value: Each person demonstrates commitment to open communication
Behaviour: Performance is acceptable when openness and acceptance of constructive criticism occurs. Positive communication occurs by complimenting and expressing appreciation to others. I will listen and encourage others to express ideas and opinions
Value: Each person demonstrates pride in the physical appearance of all properties
Behaviour: Performance is acceptable when the initiative is taken to maintain a clean and safe environment. I conduct myself in a manner which respects and preserves equipment and the physical plant. I do not walk by spills, trash, or unsafe conditions without assuring that they are attended to promptly by me or appropriate personnel
Qualification
Required
High school diploma or GED
Minimum of two years of experience in health care field
Strong organizational skills
Attention to detail
Understanding of managed care processes
Ability to safeguard and preserve the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements
Ability to ensure a safe patient environment and adherence to safety practices per policy
Ability to utilize the approved process to resolve biophysical, psychological, educational, and environmental needs of patient/significant other when administering care
Ability to communicate with members via phone and in person to assess needs, triage concerns, and facilitate problem-solving
Ability to verify member eligibility and benefits to support care coordination efforts
Ability to maintain understanding of managed care principles, risk arrangements, delegation of financial responsibility (DOFR) and compliance requirements
Ability to schedule member appointments and arrange transportation as needed
Ability to conduct follow-up calls with discharged patients to address ongoing needs and coordinate post-discharge care
Ability to enter and update all inpatient admission authorizations accurately
Ability to assist case manager with creating authorizations required for safe discharge
Ability to facilitate delivery and tracking of required forms to adhere to health plan requirements
Ability to prepare and distribute daily reports for patient rounds to ensure up-to-date patient information
Ability to receive, review, label, and file incoming faxes daily to maintain accurate records
Ability to ensure complete and accurate documentation in accordance with organizational and regulatory standards
Ability to assist in completing of health plan reports, ensuring accuracy, and maintaining up-to-date logs
Ability to foster positive, professional relationships with physicians, facility staff, and colleagues
Ability to adhere to Enterprise policies and procedures, ensuring high-quality customer service
Ability to work efficiently in a fast-paced environment, exhibiting strong multitasking abilities
Ability to engage in professional development by attending department meetings, completing required trainings and participating in process improvement initiatives
Ability to assist in training new hires to ensure a smooth onboarding process
Ability to provide coverage for team members as needed
Ability to perform other duties as assigned
Ability to recognize differing values and is culturally sensitive
Ability to make good decisions, set priorities and follow through on assigned tasks
Professional attitude and appearance
Commitment to the organization for which you work
Ability to maintain strict confidentiality
Ability to interact in a professional, courteous, and patient focused manner with all members of the organization
High level of communication skills demonstrating courtesy and professionalism
Excellent organizational skills, problem solving and decision-making abilities
Strong attention to detail and ability to manage multiple tasks in a fast-paced environment
Proficient in Windows, Microsoft Word, and Excel
Minimum typing speed of 40 wpm
Knowledge of medical terminology
Preferred
Experience in case management, managed care, or healthcare coordination
Spanish Speaking
Company
US Tech Solutions
US Tech Solutions counted among the largest yet the fastest growing staffing firm; all achieved organically.
1001-5000 employees
H1B Sponsorship
US Tech Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (4)
2024 (9)
2023 (13)
2022 (24)
2021 (18)
2020 (14)
Funding
Current Stage
Late StageLeadership Team
Manoj Agarwal
Chief Executive Officer
Recent News
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2024-12-13
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