"Auth Coordinator - Case Mngt - Los Alamitos - Per Diem Days"

Auth Coordinator - Case Mngt - Los Alamitos - Per Diem Days

Req ID: 122093
Location: Los Alamitos, California
Division: Medical Center
Department: Utilization Review-LOM
Position Type: PER DIEM
Salary Range Minimum: USD $31.24/Hr.
Salary Range Maximum: USD $31.24/Hr.

Who We Are

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Your Role on the Team

Position Summary:

The individual in this position works under the director 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; fax numbers to send clinical reviews. B) Follow up on each account during the stay and on discharge for authorization - document in the electronic system. C) Escalate any potential disputes or denial of accounts to Director of Case Management or designee. D) Trends disputed claims by at least payor and physician. E) assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization. F) Other duties as assigned.

What It Takes to be Successful

Required Qualifications:

• High School Diploma or equivalent required
• Excellent organizational skills
• Excellent verbal and written communication skills
• Demonstrated problem solving skills
• 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. Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Excellent written and verbal communication skills in English
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Associate or Bachelor's degree
• Paramedic, EMT, or Nursing Assistant Certification
• Acute hospital experience preferred
• Data Analytic Skills preferred
• Knowledge of University and medical center organizations, policies, procedures and forms

Total Rewards

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 and benefits.