Case Management Specialist, Care Coordination, Per Diem, Days

ABOUT MARINHEALTH
Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch.

MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.

What We Offer
MarinHealth offers a comprehensive suite of employee benefits that support your health, wellness, and financial security. Our robust Wellness@Work program includes onsite health & fitness classes, discounts, and promotes a healthier lifestyle for employees. We also provide a 403(b) contribution plan and company-funded retirement plan, life insurance, vacation, holiday, and sick leave. These benefits, along with our highly competitive compensation package, make MarinHealth one of the best places to work in the Bay Area. Join us and find your next career at MarinHealth.

External hires are subject to a background check and pre-employment medical screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal, state, and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.

 

JOB SUMMARY:

 The Case Management Specialist (CM-S) is responsible for providing technical, administrative and clerical support to the case management department. The CM specialist acts independently with oversight of the case manager to maintain regulatory compliance, facilitate appropriate patient placement, and to implement the discharge plan developed by the case manager.  

JOB SPECIFICATIONS:

 EDUCATION

 A.A degree in Business /Health Related field or equivalent experience in a health care setting required  

EXPERIENCE

•  Proficiency in medical terminology,
• Experience in utilization review or discharge planning, financial counseling or registration
• Minimum of 2 years of job related experience in a health care setting
• Proficiency with electronic health record (EHR) and other case management applications i.e. MIDAS 

PREREQUISITE SKILLS

• Knowledge of available health care and community resources appropriate to the population served
• Knowledge of alternative levels of care including criteria required for payment and application processes
• Knowledge of transportation criteria
• Ability to carry out instruction provided in written or oral
• Ability to manage , set priorities and operate with minimal direct supervision and can work effectively under pressure 

LICENSE/REGISTRATION/CERTIFICATION:

None  

DUTIES AND RESPONSIBILITIES:

 ESSENTIAL (not modifiable)

•  Supports the utilization management process by entering requests for utilization review, authorization of stay for concurrent and post billing denials to support case management workflow.
• Collaborates with RN and Social Work case managers as requested to provide post-acute referrals for discharge planning needs.
• Executes the discharge plan developed by the care coordination team by initiating timely referrals to other services and facilities as necessary under the supervision of the RN and