Position Summary:
The Case Manager / Admissions Coordinator is responsible for overseeing and coordinating patient admissions, insurance verification, and medical record management to ensure smooth transitions of care. This role works closely with physicians, nursing staff, insurance companies, and patients/families to manage HMO authorization, monitor daily census, and maintain accurate documentation. The Case Manager serves as a liaison between clinical and administrative teams to support quality care delivery and regulatory compliance.
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Key Responsibilities:
Admissions & HMO Management
Coordinate and process patient admissions, including pre-certifications and HMO authorizations.
Verify insurance coverage and benefits to ensure appropriate reimbursement.
Communicate with hospitals, referral sources, and families regarding admission status.
Serve as a liaison between clinical staff and insurance case managers to expedite approvals.
Daily Census & Patient Tracking
Maintain and update the daily census, ensuring accuracy across all departments.
Track admissions, discharges, and transfers in real-time.
Generate census and admission reports for leadership and regulatory compliance.
Medical Records & Documentation
Oversee the completion and accuracy of medical records, charts, and admission packets.
Ensure timely preparation of patient wristbands, identification materials, and charts upon admission.
Maintain compliance with HIPAA and other state/federal regulations regarding medical documentation.
Support survey readiness by ensuring proper documentation and recordkeeping.
Care Coordination & Communication
Collaborate with interdisciplinary team members to ensure continuity of care from admission to discharge.
Facilitate communication between patients, families, physicians, and payers regarding care plans.
Participate in utilization review, ensuring patients meet medical necessity and care guidelines.
40 hours per week plus some nights and availability when needed by facility
Tons of room to grow