Care Management Specialist - PRN - Saturdays
On-site · Naples, Florida, United States
Job Summary
Care Management Specialist provides administrative and operational support to the Care Management team, assisting with care coordination, discharge planning, insurance verification, and documentation management. Works closely with Care Managers, Social Workers, healthcare providers, and patients to ensure smooth transitions of care and timely access to resources. Assists with discharge planning, referrals, follow-up services, and coordinating with insurance payers to obtain approvals. Maintains accurate EMR entries, supports patient and family communication, and ensures regulatory compliance. PRN role on Saturdays with part-time schedule, performing duties to support post-acute care transitions and care coordination.
Required Qualifications
- 1-2 years of experience in care coordination, case management support, patient access, or healthcare administration required
- Experience in a hospital, insurance, or post-acute care setting with knowledge of healthcare payers and authorizations preferred
- Knowledge of care management processes, discharge planning, and post-acute care coordination
- Familiarity with insurance verification, prior authorizations, and healthcare payer requirements
- Proficiency in electronic medical records (EMR) systems and healthcare documentation practices
- Strong organizational and time management skills, with the ability to prioritize multiple tasks
- Excellent communication and interpersonal skills, ensuring effective collaboration with patients, families, and healthcare providers
- Ability to problem-solve and work independently, escalating complex issues to the appropriate Care Management team members
- Understanding of HIPAA regulations and patient confidentiality standards
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