Executive Case Managemnt

Job Summary

The Case Manager is responsible for coordinating and managing patients, ensuring they receive

appropriate services and support. This role involves assessing patient needs, collecting estimates,

facilitating communication among providers and patients. The Case Manager serves as a facilitator

between patients and hospitals to ensure timely and effective service delivery.

Key Responsibilities

1. Initial Response:

Initially call the patient within 30 minutes and share

the response mail within the TAT time.

2. Cost Estimation:

Connect with the preferred provider or nearby

providers & request for cost estimate & share to IC

within the TAT time for submitting to insurance.

3. Patient Reviews:

Collect patient reviews from the patients.

4. Patient Satisfaction:

Ensure clear communication with the patients, address

patient concerns promptly, educate patients and family,

respect patient needs, constant follow-up before and

after discharge

5. Ongoing Updating:

Update ongoing patient status , update review tracking

sheet and give replies to the new reviews received,

update payment register and monthly planner, update

consolidated payment plan, at the logoff time update

daily log off and daily kpi.

6. Document Collection:

Collect the final bills, breakup bills, investigation

reports & discharge summary within TAT.

Essential Functions

1. Assessments:

Evaluate patient needs and review of medical or case histories.

2. Estimate Collection:

Collect estimate from provider with available medical reports.

3. Constant Follow up:

Constantly follow-up with patient & providers for the recent updates

4. Updating Of Sheets:

Update sheets regularly for smooth workflow.General Functions

1. Assessment:

Identify and evaluate the needs, strengths, challenges, and resources of patients

through observations, and documentation review.

2. Planning:

Collect a service plan that addresses the Patient’s needs, goals, and available

support systems.

3. Monitoring:

Track the progress of the patient and the effectiveness of services provided,

adjusting the care plan as circumstances change.

4. Advocacy:

Promote the rights and interests of patients by ensuring they have access to

necessary services and are treated fairly within systems of care.

5. Evaluation:

Assess the overall effectiveness of services and outcomes to determine if goals

have been met and identify areas for improvement.

6. Support:

Provide information, guidance, and emotional support to patients and their

families to help them make decisions.

7. Collaboration:

Work closely with multidisciplinary teams, including healthcare providers,

social workers, insurance companies etc.

Qualifications and Requirement

1. Bachelor of Computer Application

2. Medical Coding , Medical Scribing

3. CPC Certified

4. 1.3 years of experience in medical field

Strong understanding of medical terminology

Excellent communication and interpersonal skills for working with providers, and

internal teams.

Ability to work independently and manage multiple cases in a high-volume

environment.

Customer service orientationwith a focus on quality outcomes and satisfaction

Ability to maintain confidentialityand comply with all regulatory requirements.

Strong problem-solvingandtime-management skill

Looking for Night shift

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits:

• Health insurance
• Internet reimbursement
• Paid sick time
• Provident Fund

Work Location: In person