Care Management Associate - La Jolla - 140039

#140039 Care Management Associate - La Jolla

In collaboration with the RN 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.
• Thorough 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.

Pay Transparency Act

Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%)

Hourly Equivalent: $27.49 - $34.17

Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable).

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, the only Burn Center in the county, and dozens of outpatient clinics. We invite you to join our team!

The University of California is an Equal Opportunity Employer. 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 status under state or federal law.