"Care Management Associate - Case Management - Days - FT - Irvine"

Care Management Associate - Case Management - Days - FT - Irvine

Req ID: 122650
Location: Orange, California
Division: Medical Center
Department: Case Management
Position Type: Full Time
Salary Range Minimum: USD $26.67/Hr.
Salary Range Maximum: USD $33.15/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:

In collaboration with the case manager, patient/family, healthcare team and payors, incumbent coordinates the care services for assigned patients for an episode of illness or treatment as defined by the case manager. Promotes the effective utilization of resources using current knowledge and awareness of community resources to achieve optimal care. This includes assisting with discharge planning, insurance verification & authorization, obtaining necessary resources, sending referrals, making follow up medical appointments, and appropriate documentation of activities in all required computer systems.

What It Takes to be Successful

Required Qualifications:

• Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties
• Must demonstrate general understanding of medical terminology
• Must demonstrate customer service skills appropriate to the job
• Minimum of 2 years experience in a hospital or medical office setting
• Extensive and demonstrated knowledge of Government and Commercial Insurance Plans
• Experience with registration and/or billings computer software programs
• Excellent written and verbal communication skills in English
• Demonstrated knowledge and understanding of Managed Care plans
• Demonstrated experience with referral authorization process
• Demonstrated experience with MS Office (Word, Excel, Outlook)
• Demonstrated ability to utilize payer and government websites to access and interpret health plan benefit packages and make determinations
• Ability to work weekends, holidays, and evenings
• Ability to maintain a work pace appropriate to the workload
• Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Knowledge of UCI policies and procedures

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.