UC Irvine Health
Cord, Authorization - Case Management - LOM - PD Days
UC Irvine Health, Los Alamitos, California, us, 90721
UC Title:
Cord, Authorization LOMPosition Number:
41087530Reports to:
Dir, Case Management LOMWorking Title:
Cord, Authorization LOMCost Center:
Case Management-LOM (423750)Bargaining Unit:
Non Rep DragonFLSA:
NonexemptDate Created:
5/03/2024Job Code:
007815Hours:
10Shift:
Not ApplicableFTE:
0.25Position Summary:
This individual in this position works under the direction of RN Case Manager and/or Social Worker. The individual's responsibilities include but are not limited to the following actions:a) Follow up on patient accounts when authorization for stay is required, Fax numbers to Send clinical reviewsb) Follow up on each account during the stay and on discharge for authorization - document in the electronic systemc) Escalate any potential disputes or denial of accounts to Director of Case Management or designeed) Trends disputed claims by at least payor and physiciane) Assist in obtaining authorization for patient discharge to Skilled Facilities or other post-acute care that require authorizationf) Other duties as assignedTotal Compensation
In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:Compensation practices ( https://www.hr.uci.edu/partnership/totalrewards/compensation.php ) andBenefits ( https://careersucirvine.ttcportals.com/pages/benefits ).Required Qualifications:Mandatory: High school diploma or equivalent required. Skills required include excellent organizational skills, excellent verbal and written communication skills, demonstrated problem-solving skills, and computer literacy. Attendance at hospital and department orientation is required. Department orientation includes review and instruction regarding Case Management and Compliance policies, Case Management documentation and referral system and clerical support duties specific to case management.Ability to establish and maintain effective working relationships across the Health SystemAbility to maintain a work pace appropriate to the workloadMust demonstrate customer service skills appropriate to the jobExcellent written and verbal communication skills in EnglishMust possess the skill, knowledge, and ability essential to the successful performance of assigned dutiesPreferred Qualifications:Knowledge of University and medical center organizations, policies, procedures, and forms. Associate or Bachelor's degree preferred. Paramedic, EMT, or Nursing Assistants certification preferred. Acute hospital experience preferred. Data analytic skills preferred.Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:- Background Check and Live Scan- Legal Right to Work in the United States- Vaccination Policies- Smoking and Tobacco Policy- Drug-Free EnvironmentThe following additional conditions may apply, some of which are dependent upon business unit or job-specific requirements:- California Child Abuse and Neglect Reporting Act- E-Verify- Pre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page:
https://hr.uci.edu/new-hire/conditions-of-employment.phpClosing Statement:
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.Physical, Mental, & Environmental Demands
To comply with the Rehabilitation Act of 1973, the essential physical, mental, and environmental requirements for this job are listed below. These are requirements
normally expected
to perform
regular
job duties. The incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.
#J-18808-Ljbffr
Cord, Authorization LOMPosition Number:
41087530Reports to:
Dir, Case Management LOMWorking Title:
Cord, Authorization LOMCost Center:
Case Management-LOM (423750)Bargaining Unit:
Non Rep DragonFLSA:
NonexemptDate Created:
5/03/2024Job Code:
007815Hours:
10Shift:
Not ApplicableFTE:
0.25Position Summary:
This individual in this position works under the direction of RN Case Manager and/or Social Worker. The individual's responsibilities include but are not limited to the following actions:a) Follow up on patient accounts when authorization for stay is required, Fax numbers to Send clinical reviewsb) Follow up on each account during the stay and on discharge for authorization - document in the electronic systemc) Escalate any potential disputes or denial of accounts to Director of Case Management or designeed) Trends disputed claims by at least payor and physiciane) Assist in obtaining authorization for patient discharge to Skilled Facilities or other post-acute care that require authorizationf) Other duties as assignedTotal Compensation
In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:Compensation practices ( https://www.hr.uci.edu/partnership/totalrewards/compensation.php ) andBenefits ( https://careersucirvine.ttcportals.com/pages/benefits ).Required Qualifications:Mandatory: High school diploma or equivalent required. Skills required include excellent organizational skills, excellent verbal and written communication skills, demonstrated problem-solving skills, and computer literacy. Attendance at hospital and department orientation is required. Department orientation includes review and instruction regarding Case Management and Compliance policies, Case Management documentation and referral system and clerical support duties specific to case management.Ability to establish and maintain effective working relationships across the Health SystemAbility to maintain a work pace appropriate to the workloadMust demonstrate customer service skills appropriate to the jobExcellent written and verbal communication skills in EnglishMust possess the skill, knowledge, and ability essential to the successful performance of assigned dutiesPreferred Qualifications:Knowledge of University and medical center organizations, policies, procedures, and forms. Associate or Bachelor's degree preferred. Paramedic, EMT, or Nursing Assistants certification preferred. Acute hospital experience preferred. Data analytic skills preferred.Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:- Background Check and Live Scan- Legal Right to Work in the United States- Vaccination Policies- Smoking and Tobacco Policy- Drug-Free EnvironmentThe following additional conditions may apply, some of which are dependent upon business unit or job-specific requirements:- California Child Abuse and Neglect Reporting Act- E-Verify- Pre-Placement Health EvaluationDetails of each policy may be reviewed by visiting the following page:
https://hr.uci.edu/new-hire/conditions-of-employment.phpClosing Statement:
The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.Physical, Mental, & Environmental Demands
To comply with the Rehabilitation Act of 1973, the essential physical, mental, and environmental requirements for this job are listed below. These are requirements
normally expected
to perform
regular
job duties. The incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.
#J-18808-Ljbffr