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

Initial Response

Initially call the patient within 30 minutes and share

the response mail within the TAT time.

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.

Patient Reviews

Collect patient reviews from the patients.

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

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.

Document Collection

Collect the final bills, breakup bills, investigation

reports & discharge summary within TAT.

Essential Functions

Assessments

Evaluate patient needs and review of medical or case histories.

Estimate Collection

Collect estimate from provider with available medical reports.

Constant Follow up

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

Updating Of Sheets

Update sheets regularly for smooth workflow.General Functions

Assessment

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

through observations, and documentation review.

Planning

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

support systems.

Monitoring

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

adjusting the care plan as circumstances change.

Advocacy

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

necessary services and are treated fairly within systems of care.

Evaluation

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

have been met and identify areas for improvement.

Support

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

families to help them make decisions.

Collaboration

Work closely with multidisciplinary teams, including healthcare providers,

social workers, insurance companies etc.

Qualifications and Requirement

Bachelor of Computer Application

Medical Coding , Medical Scribing

CPC Certified

• 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