Job Description



ED Care Coordinator - Case Management

*Shift: 8:00A - 4:30P

POSITION SUMMARY:
  • Under the direction of the Director of Care Continuum and clinical oversight by the Admin Director of Care and Quality (LCSQ). The ED Care Coordinator uses pre-established guidelines and criteria to perform review activities assuring proper utilization of hospital resources for Medicare, Medi-Cal, HMO’s and other third party payers.  Takes appropriate follow up action when established criteria for utilization of services are not met, in order to assure that denials are avoided.  Identifies medically indigent patients and monitors closely to ensure that appropriate placement is secured; works with patient and family to determine if other sources of funding may be applicable.  Maintains appropriate documentation of review performed, according to pre-established criteria, indicating severity of illness and intensity of services rendered with acute/ post-acute hospitalization.  Acts as Liaison with physician(s) to: ( 1) ensure all covered aspects of treatment are fully documented, and (2) assists in identifying other options for care when patient no longer requires acute hospitalization, securing appropriate discharge planning and home health services, and long-term care placement.

POSITION QUALIFICATIONS:

Education/License/Certification:
  • Must have a Master’s in Social Work.
  • Certification in Case Management preferred.
Experience/Skills:
  • Must have one (1) year or more in Acute Care Setting.
  • Prefer one year experience with discharge planning.

Application Instructions

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