Case Manager
McAllenonsitemanager
Posted 1w ago · via Workday
About this role
Grand Terrace Come join our team and start making a difference! Admissions and Authorization Management Review referrals and clinical documentation to determine appropriateness for SNF admission. Coordinate pre-admission assessments and payer eligibility verification. Obtain and manage insurance authorizations for Medicare Advantage, Managed Care, Commercial, and other payer sources. Collaborate with hospital discharge planners, physicians, and referral sources to facilitate and streamline care transition to SNF. Ensure timely communication with payers regarding clinical updates and authorization requests. Clinical Reimbursement and Care Coordination Lead and coordinate resident care planning activities with the interdisciplinary team.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: hipaa
2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in McAllen. We weight your proximity and willingness to relocate.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
hipaa