Case Management Associate

TEKsystems
$52.00 - $58.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Century City
May 06, 2025
Position: RN Case Manager or Certified Case Manager Location: Century City, CA 90067 (100% Onsite) Pay: $52 - $58/hr Description - responsible for developing and maintaining working relationships with clinical treatment team members, i.e.: medical, psychology, nursing, therapy, therapeutic recreation, vocational and dietary, in order to assure clinical outcomes that are appropriate, cost-effective, and beneficial to the patient - Coordinates with Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient - Develops and maintains updated departmental materials and patient education materials - Conducts chart audits on a regular basis to maintain compliance -Handles payer responsibilities and referral sources - Overseeing negotiations of continued stay rationale, length of stays, and appeals process - Initiates activities to develop positive business relationships with payers and referral sources in order to promote repeat business - Assures responsiveness to payer systems by maintaining ongoing communication and serving as the primary contact for all external payer sources, in turn generating revenue, enhancing reimbursement, minimizing financial risk and assuring payment for the hospital - Maintains a thorough understanding of insurance coverage and benefits, providing interpretation to patients/families of their insurance and providing patient advocacy Skills Multi tasking, customer service, insurance coverage Top Skills Details Multi tasking, customer service, insurance coverage Additional Skills & Qualifications CCM (Certified Case Manager) RN license Previous experience in Case Management and Discharge Planning EPIC Experience Level Intermediate Level Pay and Benefits The pay range for this position is $52.00 - $58.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Century City,CA 90067. Application Deadline This position is anticipated to close on May 14, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.