Cord, Authorization - Case Management - LOM - PD Days - 68732-1A

Updated: Jun 10, 2024
Location: Los Alamitos
Job Type:
Department: Case Management-LOM

UC Title: Cord, Authorization LOM

Position Number: 41087530

Reports to: Dir, Case Management LOM

Working Title: Cord, Authorization LOM

Cost Center: Case Management-LOM (423750) 

Bargaining Unit: Non Rep Dragon

FLSA: Nonexempt

Date Created: 5/03/2024

Job Code: 007815

Hours: 10

Shift: Not Applicable

FTE: 0.25

Position Summary: 

This individual in this position works under direction 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 is required, 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 discharge to Skilled Facilities or other post-actue care that require authorization f) other duties as assigned

Total Compensation

In addition to the salary range listed below, 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 (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and 

Benefits (https://careersucirvine.ttcportals.com/pages/benefits). 

Required Qualifications:

Mandatory:  High school diploma or equivalent required.  Skills required include excellent organizational skills, excellent verbal and written communication skills, demonstrated problem solving skills, and 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 to specific to case management. 

Ability to establish and maintain effective working relationships across the Health System

Ability to maintain a work pace appropriate to the workload

Must demonstrate customer service skills appropriate to the job

Excellent written and verbal communication skills in English

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

Preferred Qualifications: 

Knowledge of University and medical center organizations, policies, procedures and forms

Associate or Bachelor's degree preferred. Paramedic, EMT or Nursing Assistants certification preferred. Acute hospital experience preferred. Data analytic skills preferred.  

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php 

Closing Statement:

The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming. 

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at [email protected] or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.

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.