Case Manager Atlantic Group - 3.6 San Diego, CA Job Details Contract $23 - $25 an hour 17 hours ago Benefits Health insurance Dental insurance Vision insurance Qualifications Utilization review HIPAA Utilization management Social Work Medical terminology Full Job Description Responsibilities Conduct comprehensive patient assessments to determine individual needs, including medical, social, and behavioral health factors. Develop personalized care plans that align with clinical guidelines and patient preferences, ensuring effective utilization of healthcare resources. Coordinate services across hospital departments such as ICU, emergency medicine, pediatrics, and hospice care to ensure continuity of care. Collaborate with social workers, healthcare providers, insurance companies, and community resources to facilitate discharge planning and post-hospital support. Perform utilization review and management to ensure appropriate level of care while adhering to HIPAA regulations and health insurance policies. Maintain accurate documentation within EMR/EHR systems, including ICD coding (ICD-9/ICD-10), CPT coding, and medical terminology for billing and compliance purposes. Communicate proactively with patients and their families to provide education, support, and updates regarding treatment plans and service options. Skills Extensive critical care experience with hospital settings such as ICU or Level I/II trauma centers. Strong background in nursing or social work with knowledge of managed care, discharge planning, and utilization management. Proficiency in EMR/EHR systems along with Microsoft Office tools for documentation and reporting. Familiarity with medical coding systems including ICD-9/ICD-10 and CPT coding for accurate record keeping. Knowledge of HIPAA regulations, health insurance procedures, and medical terminology essential for compliance. #

INDBOS Pay:

$23.00 - $25.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance

Work Location:

In person