What are the responsibilities and job description for the Authorization Coordinator - Utilization Review- Los Alamitos - FT Days position at University of California?
Who We Are
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal / neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.
To learn more about UCI Health, visit www.ucihealth.org.
Your Role on the Team
Position Summary :
The individual in this position works under the direction of an RN Case Manager and / or Social Worker. The individual's responsibilities include but are not limited to the following actions : a) Follow up on patient accounts when authorization for stay is required, Fax numbers to Send clinical reviews b) Follow up on each account during the stay and on discharge for authorization - document in the electronic system, c) Escalate any potential disputes or denial of accounts to Director of Case Management or designee d) Trends disputed claims by at least payor and physician e) assist in obtaining authorization for patient discharged to Skilled Facilities or other post-acute care that require authorization f) other duties as assigned
What It Takes to be Successful
Total Compensation
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.
Required Qualifications :
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
- Must demonstrate customer service skills appropriate to the job
- Excellent written and verbal communication skills in English
- Ability to maintain a work pace appropriate to the workload
- Ability to establish and maintain effective working relationships across the Health System
Preferred Qualifications :
Associate or Bachelor's degree preferred
Paramedic, EMT or Nursing Assistant certification preferred
Acute hospital experience preferred
Data analytics skills preferred
Must be able to walk and stand for long periods of time and occasionally stoop, kneel or crawl
The employee is frequently required to use fine motor skill (typing / data entry), and reach with hands and arms
Must be able to lift and move up to 50 pounds
Must have auditory acuity necessary to perform responsibility listed
Must have visual acuity necessary to perform responsibility listed
Conditions of Employment :
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment :
The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.
Details of each policy may be reviewed by visiting the following page :
Closing Statement :
The University of California, Irvine is an Equal Opportunity / Affirmative Action 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 categories covered by the UC nondiscrimination policy.
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8 : 30 a.m. - 5 : 00 p.m.
Consideration for Work Authorization Sponsorship
Must be able to provide proof of work authorization
