CareHub Specialist / Patient Service Specialist - Case Management

Job Description - CareHub Specialist / Patient Service Specialist - Case Management (262005936)

Job Description

CareHub Specialist / Patient Service Specialist - Case Management - 262005936

Description

This is a Full-Time position (80 hours per pay period) with eight-hour day shifts from Monday - Friday, located at our Scripps Mercy Hospital in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.

Why join Scripps Health?

At Scripps Health, your ambition is empowered and your abilities are appreciated:

• Nearly a quarter of our employees have been with Scripps Health for over 10 years.
• Scripps is a Great Place to Work Certified company for 2026.
• Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
• Becker's Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care.
• We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
• Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

The CareHub Specialist coordinates post-acute referrals, authorizations, insurance verification, and discharge support to facilitate timely, appropriate, and efficient transitions of care. The role manages referrals and payer processes across multiple systems, coordinates with post-acute providers and health plans, ensures required documentation is complete and accurate, and addresses barriers that may delay placement or discharge.

Key Accountabilities:

• Coordinate post-acute referrals and placement across SNF, rehabilitation, home health, hospice, home infusion, LTAC, DME, transportation, dialysis, and community services.
• Manage authorizations, payer communications, appeals, extensions, and modifications while ensuring timely and accurate documentation.
• Verify insurance benefits and provider network participation and coordinate Managed Medi-Cal and other coverage-related referrals.
• Serve as a liaison between Case Management, Social Work, patients/families, payers, and post-acute providers to resolve discharge barriers.
• Maintain proficiency in Epic, ECIN/CarePort, payer platforms, and related systems while supporting process improvement, regulatory compliance, timely discharge, and reimbursement.

Qualifications

Required Qualifications:

• Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
• Excellent communication and customer service skills.
• Strong organizational and analytical skills; innovative with ability to identify and solve problems.
• Able to adapt, prioritize and meet deadlines.

Preferred Qualifications:

• 2 years of experience in customer service or healthcare/medical office environment.
• Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG''s, Medical ICD9/ICD10 codes and CPT/HCPC Code.

Job

: Business Office

Primary Location

: Central San Diego County-SAN DIEGO-SCRIPPS MERCY HOSPITAL SAN DIEGO

Work Locations

:

SCRIPPS MERCY HOSPITAL SAN DIEGO

4077 FIFTH AVENUE

SAN DIEGO 92103

Organization

: Scripps Mercy San Diego

Job Posting

: Oct 17, 2026, 4:06:52 AM

Benefit Status: FT - FULL-TIME WITH BENEFITS

Minimum Rate (USD)

: 26.45 -

Maximum Rate (USD)

: 34.33

In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer. Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.