Discharge Planner Lynwood

    • Huntington Park, CA

Position Description

Inpatient Discharge Planner

AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private - practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities.

As a part of our continued growth, we are searching for a new Inpatient Discharge Planner to join our team!

This position is in Lynwood at St Francis Hospital

Primary Responsibilities:

  • Manage administrative intake of members
  • Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and / or providers
  • Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
  • Assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review
  • Handle resolution / inquiries from members and / or providers

This is high volume, customer service environment. You'll need to be efficient, productive and thorough dealing with our members over the phone. You also must be able to work a flexible schedule that includes evening hours.

Required Qualifications:
  • Discharge planning experience
  • HS Diploma or GED
  • 2+ years of customer service experience
  • Experience with MS Word, Excel and Outlook

Preferred Qualifications:
  • Experience working within the health care Industry and with health care insurance
  • Experience working in a hospital, physician's office or medical clinic setting
  • A clerical or administrative support background
  • Knowledge of ICD - 9 and CPT codes
  • Experience working in a call center

Join us today and we can provide you with meaningful challenge that can result in a strong sense of impact and fulfillment. It's truly an opportunity to do your life's best work.(sm)

AppleCare Medical Group was formed in Lynwood, California in 1996 with the goal of making quality care available locally to the community. Today, AppleCare Medical Group is comprised of hundreds of board - certified private - practice, independent physicians. These physicians provide medical expertise and passion to improving the health of communities in the Southeast area of Los Angeles and Northern Orange County.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords: Inpatient, Discharge Planner, Lynwood, Los Angeles, Long Beach, Santa Ana, CA, California


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