Updated: May 24, 2024
Location: Fullerton
Job Type:
Department: UCI Health Community Network
Job Description:
UC Title: Cord, Practice CPE
Position Number: 41077930
Reports to: Mgr, Physician Practice CPE
Working Title: Cord, Practice CPE
Cost Center: UCI Health Community Network (428891)
Bargaining Unit: No Bargaining Unit
FLSA: Nonexempt
Date Created: 3/21/2024
Job Code: 008758
Hours: 35.2
Shift: Days
FTE: 0.88
Position Summary:
Under minimal supervision, the Workers’ Compensation Coordinator acts as liaison between physicians, adjusters, nurse case managers and employers to expedite delivery of medical care for Workers’ Compensation patients. Provides case coordination for WC patients; provides QA review of forms and of medical reports for completeness and accuracy and to be familiar with ACOEM guidelines. Secures authorization and process (RFA) referrals for specialty care and diagnostic testing requested by providers. Serves as a resource for staff/faculty regarding WC office issues. Understand EMR system, knowledge of Workers’ compensation forms. Requires strong understanding of workers' compensation system, laws and procedures. Demonstrated skills and confidence when working with patients, staff and adjusters. Provides staff training as required. Job standards are to be performed at the EXPERT level.
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).
Salary Range:
Hourly Rate Minimum $23
Required Qualifications:
Minimum 3-5 year experience in workers’ Compensation, California. Demonstrated ability to analyze and interpret policies, rules, laws and regulations by performing case management and analyzing and reviewing large quantities of medical reports and extracting pertinent information such as diagnosis, work status, estimated and transitional return to work, and treatment plans. Prior experience with and knowledge of Workers’ Compensation guidelines and California law. Experience working with insurance carriers, third party administrators, referral sources and outside employers regarding Workers' Compensation services. Demonstrated ability to maintain confidentiality. Demonstrated communication skills, both verbal and written, including knowledge of proper business formats, grammar, spelling and punctuation. Demonstrated customer service skills with the ability to answer in-person and written requests, and telephone calls and impart accurate and current information in a courteous, friendly and professional manner. Skill to use word processing, database, e-mail, and web-based software. Demonstrated knowledge of federal HIPAA regulations and state health insurance laws. Experience using Athena/Epic EMR.
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.
