Job Description
Position Summary
The Inpatient Case Management Coordinator plays a critical role in supporting case managers and social workers by coordinating care, managing documentation, and ensuring timely communication with members, providers, outside facilities and internal teams. The Case Management Coordinator will work closely with case managers, social workers, providers and interdisciplinary teams to facilitate care coordination. This position requires strong organizational skills, attention to detail, and an understanding of managed care processes to facilitate seamless transitions of care and optimize patient outcomes.
Specific Skills Required
- Excellent communication skills with a high level of courtesy and professionalism
- Strong organizational, problem-solving, and decision-making abilities
- Exceptional attention to detail with the ability to manage multiple priorities
- Proficiency in Windows and Microsoft Office (Word, Excel)
- Minimum typing speed of 40 WPM
- Working knowledge of medical terminology
Education, Experience & Training
Required:
- High school diploma or GED
- Minimum of two (2) years of experience in the healthcare field
Preferred:
- Experience in case management, managed care, or healthcare coordination
- Spanish-speaking proficiency
Duties and Responsibilities
- Safeguard and maintain the confidentiality of protected health information in compliance with HIPAA, state and federal regulations, and organizational policies
- Ensure a safe patient environment and adherence to established safety practices
- Utilize approved processes to address patients’ biophysical, psychological, educational, and environmental needs
- Maintain and update daily census reports by verifying admissions and discharges
- Communicate with members via phone and in person to assess needs, triage concerns, and resolve issues
- Collaborate closely with case managers, social workers, and leadership teams to support care coordination
- Verify member eligibility and benefits to facilitate effective care planning
- Maintain working knowledge of managed care principles, risk arrangements, DOFR, and compliance requirements
- Schedule appointments and arrange transportation for members as needed
- Conduct post-discharge follow-up calls to address ongoing needs and coordinate care
- Accurately enter and update inpatient admission authorizations
- Assist case managers with authorizations required for safe discharge planning
- Facilitate delivery, tracking, and completion of required health plan forms
- Prepare and distribute daily reports for patient rounds to ensure accurate, up-to-date information
- Receive, review, label, and file incoming faxes to maintain organized records
- Ensure documentation is complete, accurate, and compliant with regulatory standards
- Assist in preparing health plan reports and maintaining current logs
- Build and maintain positive, professional relationships with physicians, facility staff, and colleagues
- Demonstrate efficiency, multitasking ability, and attention to detail in a fast-paced environment
- Participate in department meetings, required training, and process improvement initiatives
- Assist with onboarding and training of new team members
- Provide coverage for team members as needed
- Perform other duties as assigned
Personal Qualities
- Culturally sensitive with the ability to respect differing values
- Strong decision-making skills with the ability to prioritize and follow through
- Professional attitude and appearance
- Commitment to organizational goals and values
- Ability to maintain strict confidentiality
- Consistently interacts in a courteous, professional, and patient-focused manner
Recruiter Details:
Vishakha Singh
Sr IT Recruiter
E-mail: vishakha.singh@ustechsolutionsinc.com
Internal ID-25-55607
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.