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Case Management Clerk

Company: Kaiser Permanente
Location: Riverside
Posted on: March 25, 2020

Job Description:

Under direct supervision, this position is responsible for supporting and coordinating the administrative activities of Case Management Departments, for example; Utilization, Extended Care, Outside Medical, etc.Essential Responsibilities:

  • Maintains production logs, statistics, files, archiving, and manuals as assigned.
  • Orders, retrieves and returns designated medical records.
  • Process and organize log sheets, census printouts, notes, referrals, scans and processes emails, etc.
  • Establishes and maintains courteous, cooperative relations with members, physicians, nursing and other members of the health care team.
  • Performs miscellaneous typing of letters, reports, or other documents as assigned, copying and faxing as needed.
  • Performs data entry functions and inquiries on systems applications, and runs reports as needed.
  • Checks patient current eligibility for all admissions, along with the inquiries, using the current Kaiser systems.
  • Assists in processing telephone communications in a courteous, professional manner with patients, family members, physicians, nursing and other members of the health care team to the appropriate Staff.
  • Retrieves and faxes appropriate medical records as requested to assist in the following up Appeals, and transfers to nursing homes, etc. as directed.
  • Ensures Notices of Non-coverage (NONCs) are sent and entered into data entry log, within 24 hours of notification by Case Manager, with filing of return receipts attached to the UM NONC copy.
  • Assists with delivering equipment to patients as directed by Case Manager - inpatient only
  • Assists with identifying and/or issuing Medicare Important Message (IM) under direction of Case Manager, and complete documentation in log and Health Connect - inpatient only
  • Perform other duties as assigned.
  • Consistently supports Compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation and licensing requirements (if applicable) and Kaiser Permanente's policies and procedures.Basic Qualifications:Experience
    • One (1) year experience within the last three (3) years in a healthcare/office environment.Education
      • High School diploma or GED required.License, Certification, Registration
        • N/A.Additional Requirements:
          • Must be able to type 25 words per minute and perform data entry. Typing must be current within one (1) year. Please contact Human Resources for testing.
          • Must be computer literate with knowledge of Microsoft Excel and Microsoft Word.
          • Must be able to speak, read and write English fluently.
          • Must possess good organizational skills, both verbal and written, in person and via phone.
          • Must be able to demonstrate knowledge, skills, abilities and behaviors necessary to provide superior and culturally sensitive service to each other and to our members/ customers.Preferred Qualifications:
            • N/A.Notes:
              • This position is clerical support for the case management department for Riverside service area.
              • This is a temporary position for approximately 6 months.
              • Schedule to include rotating weekends, holidays and floating within the established seniority section.Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.COMPANY: KAISERTITLE: Case Management ClerkLOCATION: Riverside, CaliforniaREQNUMBER: 869085External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Keywords: Kaiser Permanente, Riverside , Case Management Clerk, Executive , Riverside, California

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