Case Management Assistant - PT

A career at Palomar Rehabilitation Institute, a 52-bed inpatient acute rehabilitation hospital operated jointly with Lifepoint Health and Palomar Health, is more than a job. It's a chance to be a vital member of an interdisciplinary team caring for people in the San Diego area who need continued care to recover completely. You have specialized skills and our patients in the Escondido, and the surrounding area, need them. If you are enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve our community, we invite you to apply!

Our Benefits:

·         Tuition assistance/reimbursement

·         Expansive benefit package including PTO plan, 401k Match, and insurance coverage

·         Professional development and advancement opportunities

·         Superior quality patient outcomes

·         Supportive leadership and culture

              Affordable medical, dental and vision plans provided to meet the needs of full employees and their families 

              Up to 20 days of PTO for full time employees 

             6 paid holidays for full time employees 

What you will do in this role:

• Provides assistance to the case management staff, including but not limited to, creating and sending referral packets, organizing admission and discharge patient records, making phone calls, obtaining signatures, or any other assistance needed determined by the CM team
• Assists the case management team by making necessary arrangements for post-discharge follow up care
• Forwards the necessary patient clinical information for all admission, concurrent, and retrospective insurance reviews to payers for the completion of medical necessity reviews
• Monitors, follow-up, documents, and tracks payer responses/requests of completed clinical reviews, including approvals, appeals, and denials, and communicates these to the appropriate personnel [hospital staff, physician, DCM, Case Manager, Clinical Denial Management, and Centralized Business Office (CBO)]
• Monitors and tracks the total hospital certified days of the patient for payers (commercial, managed care, and Medicaid) and communicates missing certifications to the Lead CM/DQ and Case Manager
• Performs other related duties as assigned

• College degree in healthcare related field preferred
• LPN or social work degree preferred but not required
• Minimum of 1 year hospital or post-acute healthcare experience with preference in case management or clinical department.  Proficient with WORD and EXCEL software, keyboard typing, and general office equipment.

Compensation is from: $24.00 - $ 29.26 per hour. We would expect those hired into this job would be paid within this hourly rate, however, certain circumstances may allow us to pay outside of this hourly rate. 

Palomar Health Rehabilitation Institute strives to maximize the health, function, and quality of life of those we serve through comprehensive physical medicine and rehabilitation programs. Our rehabilitation programs provide ongoing care and specialized treatment to patients throughout their recovery journey. We offer customized, intense rehabilitation tailored to the individual needs of those recovering from stroke, brain injury, neurological conditions, trauma, spinal cord injury, amputation, and orthopedic injury.

Salary : $24 - $29