Job Description

Payroll Title:
HOSP BLANK AST 3
Department:
Care Management
Salary Range
Commensurate with Experience
Worksite:
La Jolla Medical Center
Appointment Type:
Career
Appointment Percent:
100%
Union:
EX Contract
Total Openings:
2
Work Schedule:
Days, 8 hrs/day, Monday-Sunday

As a federally-funded institution, UC San Diego Health maintains a marijuana and drug free campus. New employees are subject to drug screening.

#111239 Care Management Associate

Filing Deadline: Mon 11/29/2021

For the safety and well-being of the entire university community, the University of California requires, with few exceptions, that all students, faculty and staff be vaccinated against the COVID-19 virus and influenza before they will be allowed on campus or in a facility or office. For more information visit: Flu Vaccine Mandate / COVID Vaccine Policy

UCSD Layoff from Career Appointment: Apply by 09/07/2021 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.

Special Selection Applicants: Apply by 09/15/2021. Eligible Special Selection clients should contact their Disability Counselor for assistance.

The classification of this position has been updated as of 11/19/2021.

DESCRIPTION

In collaboration with the Case Manager, patient/family, healthcare team and payors, the Care Management Associate 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, and authorization obtaining necessary resources, sending referrals, making follow-up medical appointments, and appropriate documentation of activities in all required computer systems. Other related duties as assigned.

MINIMUM QUALIFICATIONS

  • Three (3) years of Care Management support or related experience in a healthcare setting.

  • Extensive and demonstrated knowledge of Government and Commercial insurance plans.

  • Demonstrated knowledge and understanding of managed care plans.

  • Proven ability to utilize payor and government website to access and interpret health plan benefits packages and make determinations.

  • Demonstrated experience with referral authorization process.

  • Experience with MS Office. General understanding of medical terminology.

PREFERRED QUALIFICATIONS

  • High level of customer service experience.
  • Experience in an acute care hospital setting.
  • Experience with Epic or other EMR systems.
  • Experience arranging post-acute services and equipment for patients.
  • Experience with Allscripts referral system.
  • Experience in a hospital admitting department.
  • Experience with registration and/or billing computer software programs.
  • High level of customer service experience.

SPECIAL CONDITIONS

  • Variable work hours and locations. Willing to work overtime as required.
  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

Job offer is contingent on successful engagement in the UC COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online