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.

8. Qualifications and Requirement

1. Bachelor of Computer Application

2. Medical Coding

3. CPC Certified
4. 1.3 years of experience in medical field
5. Robust understanding of medical terminology
6. Excellent communication and interpersonal skills for working with providers, and internal teams.
7. Ability to work independently and manage multiple cases in a high-volume environment.
8. Customer service orientation with a focus on quality outcomes and satisfaction.
9. Ability to maintain confidentiality and comply with all regulatory requirements.
10. Strong problem-solving and time-management skill

Job Types: Full-time, Permanent Pay: ₹20,000.00 - ₹25,000.00 per month

Benefits

- Health insurance
- Internet reimbursement
- Paid sick time
- Paid time off
- Provident Fund

Work Location: In person

📌 Executive – Case Management (Male/Female) (Kalamassery)
🏢 Bluedot Medical Assistance
📍 Kalamassery