Case Management Specialist

Position Summary

The Case Management Specialist functions as a member of the Case Management team. They utilize communication, organizational, and problem-solving skills to carry out the post-hospital care plans and interventions, utilization review, and denials management activities as defined by the RN Discharge Coordinator and RN Utilization Reviewer. They assume a pivotal role with the patient care team to achieve optimal clinical and resource outcomes.

Experience Qualifications

• 3 years of experience in administrative functions in care coordination and/or utilization management in healthcare settings is required.
• Experience with Microsoft Word and Excel is required.
• Experience with EPIC is preferred.
• Current understanding of CMS regulations related to hospital discharge requirements is preferred.

Total Rewards

• Competitive Pay: Hourly and salaried positions earn market-based compensation.
• Health & Wellness: Medical, dental, and vision coverage for part-time and above employees and their eligible dependents beginning within 30 days of hire.
• Retail Savings: Employer-sponsored retirement plan with company contribution and match.
• Paid Time Off: Generous ETO for part-time and above employees.
• Professional Development: Continue to enhance your education through our tuition reimbursement and tuition repayment program.