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Care Specialist - Inpatient

Job ID 113115 Date Posted 10/09/2021
San Diego, California
  • SRS Administration
  • Inpatient Case Management
  • Day Job
  • Part-Time
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Responsibilities

Summary

The Inpatient Care Specialist is responsible for submitting proper documentation to various DME companies, Skilled Nursing Facilities, Home Health Agencies and SRS approved care partners. They coordinate, review and process complex referrals for prior authorization for medical care and services, skilled nursing admission, durable medical equipment, home care and other miscellaneous services for the efficient and effective delivery of inpatient services. In addition this position tracks and trends IMM compliance and participates in process improvement projects

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Location

This position is located in Kearny Mesa, San Diego

Hours

Part-Time, Days 

Required Skills and Qualifications

  • Three (3) years Working in the managed health care field, preferably HMO or delegated risk medical group/IPA setting
  • Successful completion of ICD and CPT coding classes, or equivalent work experience.
  • One (1) year of experience with medical coding and data entry, preferably in a managed care environment
  • Excellent organizational and time management skills
  • Excellent analytical and problem-solving skills
  • Must have the ability to communicate effectively verbally and in writing with interdisciplinary staff and vendors
  • Ability to type 35 WPM, demonstrated competence in Microsoft word, Microsoft Excel, Microsoft Outlook, and other software programs
  • Ability to multitask
  • Ability to work within the hospital setting interacting on the hospital floors with patients 
  • Ability to read, speak and hear English proficiently 

Preferred Skills and Qualifications

  • Successful completion of Medical Assistant Program or equivalent.
  • Bilingual English/Spanish
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