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Care Management Associate

United States, La Jolla Employment contract 57399.00 - 71347.00 USD / Year · Job Posted June 14, 2026
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Job Description

In collaboration with the RN Case Manager, patient/family, healthcare team and payors, the Care Management Associate coordinates the care services for assigned patients for an episode of illness or treatment as defined by the Case Manager. Promotes the effective utilization of resources using current knowledge and awareness of community resources to achieve optimal care. This includes assisting with discharge planning, insurance verification, and authorization obtaining necessary resources, sending referrals, making follow-up medical appointments, and appropriate documentation of activities in all required computer systems. Other related duties as assigned.

Job Responsibility

  • Coordinate the care services for assigned patients for an episode of illness or treatment as defined by the Case Manager
  • Promote effective utilization of resources using current knowledge and awareness of community resources to achieve optimal care
  • Assist with discharge planning, insurance verification, and authorization
  • Obtain necessary resources
  • Send referrals
  • Make follow-up medical appointments
  • Document activities in all required computer systems

Requirements

  • Three (3) years of Care Management support or related experience in a healthcare setting
  • Extensive and demonstrated knowledge of Government and Commercial insurance plans
  • Thorough knowledge and understanding of managed care plans
  • Proven ability to utilize payor and government website to access and interpret health plan benefits packages and make determinations
  • Demonstrated experience with referral authorization process
  • Experience with MS Office
  • General understanding of medical terminology

Nice to have

  • High level of customer service experience
  • Experience in an acute care hospital setting
  • Experience with Epic or other EMR systems
  • Experience arranging post-acute services and equipment for patients
  • Experience with Allscripts referral system
  • Experience in a hospital admitting department
  • Experience with registration and/or billing computer software programs
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