Care Management Associate - La Jolla

Overview Payroll Title: HOSP BLANK AST 3 Department: Care Management Hiring Pay Scale: $27.49 - $34.17 / Hour Worksite: Jacobs Medical Center Appointment Type: Career Appointment Percent: 100% Union: EX Contract Total Openings: 1 Work Schedule: Days, 8-Hour Shifts, Monday-Fridays, some weekends Position: 140039 Care Management Associate - La Jolla Description 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. 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. 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. Pay Transparency 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). Additional Information Apply Now If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. 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! 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. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community. 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. For the University of California’s Anti-Discrimination Policy, please visit: UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subjected to drug screening. Misconduct Disclosure Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. "Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct: UC Sexual Violence and Sexual Harassment Policy UC Anti-Discrimination Policy Abusive Conduct in the Workplace #J-18808-Ljbffr