CareHub Specialist / Patient Service Specialist - Case Management

Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista.

Scripps Mercy Hospital San Diego’s campus includes the O’Toole Breast Care Center, a 24-hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit). 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.

• 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. Required

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.

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. At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential. Position

$26.45-$34.33/hour