Job Abstract

Provide key clinical support within a world-class health organization. Help ensure the delivery of exceptional, compassionate, and appropriate patient care. Take your professional expertise to the next level. You can do all this and more at UCLA Health. Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination activities in hospital, SNF and outpatient settings during afterhours and weekends. The role ... more details

General Information

Work Location: Los Angeles, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Wednesday - Friday 1:00pm - 10:00PM PST, Saturday - Sunday 8:00am - 5:00pm PST

Posted Date

04/09/2024

Salary Range: $22.03 - 43.68 Hourly

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

15470

Primary Duties and Responsibilities

Under the direction and supervision of the RN Assistant Director, the Case Management Coordinator is responsible for patient high risk care coordination activities in hospital, SNF and outpatient settings during afterhours and weekends. The role receives urgent, routine, pre-service and retro authorization requests and processes them through the referral and authorization procedures as established by the medical group utilization department. Responsible for prepping and processing referrals according to DOFR, posted UCLA Medical Group Medical Guidelines, identifies documents needed to assist the next level of reviewer in review, and health plan contracts.

The Case Management Coordinator will also be responsible for:

Preparation and maintenance of specific reports and computer applications/logs
Monitoring members/patients followed by Case Management for safe discharge planning and appropriate access to care
Working directly with Concurrent Nurses and Intensive Case Management Nurses
Review pending claims for approval or denial
Provide timely care coordination for CM enrolled patients and Medicare Advantage high risk patients to prevent hospital utilization

Salary Range: $22.03 - $43.68 Hourly

Note: This posted position is 1 of 2 positions available for hire. All applicants will apply through this requisition and if selected will be hired into one of the available positions.

Job Qualifications

We’re seeking a well-organized, detail-oriented, deadline-driven individual with:

High school diploma, GED, or equivalent
Experience working in case management and care coordination in managed care environment preferred
Proficiency in processing ambulatory managed care referrals
Vodavi phone system experience desired
Ability to operate a wide variety of office equipment
Computer proficiency with Microsoft Office
Excellent communication and multi-tasking skills
Ability to work well with frequent interruptions and meet deadlines
Care Coordination experience preferred

Apply with UCLA Health

Search Terms: Management, Coordinator, Processing, Healthcare, Patient

Job Abstracts is an independent Job Search Engine. Job Abstracts is not an agent or representative and is not endorsed, sponsored or affiliated with any employer. Job Abstracts uses proprietary technology to keep the availability and accuracy of its job listings and their details. All trademarks, service marks, logos, domain names, and job descriptions are the property of their respective holder. Job Abstracts does not have its members apply for a job on the jobabstracts.com website. Additionally, Job Abstracts may provide a list of third-party job listings that may not be affiliated with any employer. Please make sure you understand and agree to the website's Terms & Conditions and Privacy Policies you are applying on as they may differ from ours and are not in our control.

Management Jobs: $15-$57/Hr. Multiple Positions Hiring Immediately

Los Angeles

Hiring Immediately! Multiple Positions Available. $15-$57/Hr.