Care Management Associate - Case Management - Days - FT - Irvine
About The Position
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.
Requirements
- 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
Nice To Haves
- Knowledge of UCI policies and procedures
Benefits
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
101-250 employees
