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Care Management Associate- Case Management - F/T Day Shift at Careers - UC Irvine Health - 12128

Company: University of California- Irvine Medical Centers
Location: Orange
Posted on: March 8, 2019

Job Description:

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.



Salary Range:



Rate Minimum $21.28 Midpoint $23.87 Maximum $26.46



Required Qualifications:

Ability to establish and maintain effective working relationships across the HealthSystem

Ability to interpret and understand various medical insurance plans and make accurate determinations regarding coverage

Ability to maintain a work pace appropriate to the workload

Ability to work weekends, holidays, and evenings

Demonstrated ability to utilize payer and government websites to access and interpret health plan benefit packages and make determinations

Demonstrated experience with MS Office (Word, Excel, Outlook)

Demonstrated experience with referral authorization process

Demonstrated knowledge and understanding of Managed Care plans

Excellent written and verbal communication skills in English

Experience with registration and/or billings computer software programs

Extensive and demonstrated knowledge of Government and Commercial Insurance Plans

Minimum of 2 years experience in a hospital or medical office setting

Must demonstrate customer service skills appropriate to the job

Must demonstrate general understanding of medical terminology

Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties



Preferred Qualifications:

Knowledge of UCI policies and procedures



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. Incumbent must be able to successfully perform all of the functions of the job with or without reasonable accommodation.




UC Irvine Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Keywords: University of California- Irvine Medical Centers, Orange , Care Management Associate- Case Management - F/T Day Shift at Careers - UC Irvine Health - 12128, Healthcare , Orange, California

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