This posting will remain open until a successful candidate has been identified.
UCSD Layoff from Career Appointment: Apply by 12/16/2022 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor.
Special Selection Applicants: Apply by 12/27/2022. Eligible Special Selection clients should contact their Disability Counselor for assistance.
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.
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.
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.
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 Act Full Salary Range: $51,532 - $64,039 Annually
The University of California, San Diego is required to provide a reasonable estimate of the compensation range for this role. This range takes into account the wide range of factors that are considered in making compensation decisions including but not limited to experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. It is not typical for an individual to be offered a salary at or near the top of the range for a position. Salary offers are determined based on final candidate qualifications and experience. The full salary range for this position is defined as the Full Pay Range. The budgeted salary or hourly range that the University reasonably expects to pay for this position defined as the Expected Pay Scale. Placement within the Expected Pay Scale is determined by internal equity, relevant qualifications, and collective bargaining agreements (when applicable).
UC San Diego is an academic powerhouse and economic engine, recognized as one of the top 8 public universities by U.S. News and World Report. Innovation is central to who we are and what we do. Here, students learn that knowledge isn't just acquired in the classroom - life is their laboratory. UC San Diego's rich academic portfolio includes six undergraduate colleges, five academic divisions and five graduate and professional schools. The university's award-winning scholars are experts at the forefront of their fields with an impressive track record for achieving scientific, medical and technological breakthroughs.