Case Manager

Job Description

Job Description

CASE MANAGER - is responsible for providing administrative support and providing additional support to patients through follow-up and medical and financial referrals as needed. Maintains scheduling and follow-up on all Well Care patient's referrals to their completion. Coordinates with referral to specialists and outside medical, dental, and behavioral health. This position reports to the Office Manager.

Essential Duties and Responsibilities : Duties include, but not limited to :

• Screen patients for financial eligibility, and refers them to other community agencies, specialists, or other medical facilities, and arranges patient transportation as needed.
• Qualifies new patients for care according to the financial sliding fee schedule and insurance coverage.
• Contacts patients to update current patient financial status according to financial sliding fee schedule discounts and develop payment plans.
• Qualifies new obstetrics patients to begin care. Refers patients to programs available including the Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Medicaid.
• Makes Medicaid referrals and setting up payment plans.
• Refers patient for care through any dental grants.
• Coordinate community services for high-risk patients, non-compliant patients, or patients with disabilities, or phone calls to the patients and / or Child Protection Services.
• Creates daily reports on new patients, insurance types, obstetrics, sliding fees, and referrals made to outside specialists. Maintains a tracking log of patients to ensure ordered tests and labs were completed by the patient.
• Tracks hospital admissions and discharges. Tracks and provides follow-up on all testing ordered outside of the office and obtains results, if completed, for provider review and scanning into the patient's chart. Creates reports and completes follow-ups on child protection cases. Schedules follow-up appointments with providers for recent emergency room visits and hospital admissions. Obtains record for the providers.
• Contact specialists to retrieve discharge summaries and office notes from referrals once a patient evaluation is complete.
• Contact self-pay patients on the day prior to the appointment to complete a financial update in the sliding fee scale.
• Participate in the Employee Risk Management Team and Quality Improvement Team.
• Contacts patients and / or send letters when appointments are not kept.
• Performs various clerical duties, including updating patient data and charts, and documenting and copying patient records.
• Attend staff meetings and conferences as required.

Monday - Friday 8 : 00a - 5 : 00p with 1 hour lunch (40 hrs.)

Paid Holidays

Vacation, Personal, and Sick days

Powered by ExactHire : 186265