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Description
Utilization Management Intensive Case Management Coordinator – After Hours
Work Location
Los Angeles,CA
Job #18713
Work Hours
Monday, Tuesday, Friday, 5:00pm – 10:00pm, Saturday and Sunday, 8:00am – 5:00pm
Employment Type
2 – Staff- Career
Duration
Indefinite
Salary Range
$34.37-47.31 Hourly
Posted Date
August 30, 2024
Bargaining Unit
Teamsters – CX
Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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JOB DUTIES
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JOB QUALIFICATIONS
Description
Take on a vital role within a leading health organization. Help ensure smooth and efficient case management processes to support quality care. Take your expertise to the next level. You can do all this and more at UCLA Health.
Under the direction of the Utilization Management, Assistant Manager, you will play a key role in processing and managing authorization requests. You will:
- Receive urgent, routine, pre-service, and retro authorization requests
- Process referrals and authorizations following established procedures within the medical group utilization department
- Prepare and process referrals according to Delegation of Financial Responsibility (DOFR), UCLA Medical Group Medical Guidelines, and health plan contracts
- Identify and prepare necessary documents for the next level of review
- Maintain and prepare specific reports and manage computer applications and logs
- Monitor members/patients followed by Case Management
- Work directly with a nurse team lead
- Review pending claims for approval or denial
UPCOMING EVENTS
Emergency Nurses Association (ENA) 2024 Conference
National Society of Genetic Counselors Conference (NSGC)
DICE Tech in Healthcare Virtual Job Fair
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered
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