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UM Referral Coordinator - Per Diem - Hybrid - 128480
University of California - San Diego Medical Centers | |
United States, California, San Diego | |
April 23, 2024 | |
Once fully trained, this position may work a hybrid schedule which includes a combination of working both onsite at Greenwich Drive and remotely. Holiday and weekend availability is required. Under the direction of the Assistant Director of Utilization Management, the UM Coordinator works as a team member of the UM Department. They process various types of authorizations such as inpatient admission, observation, outpatient procedures, imaging, DME, home health, PT/OT/ST, genetic testing, drugs, psychological services, chiropractic, acupuncture services, etc., in collaboration with RN/LVN Case Managers. The Coordinator verifies eligibility, confirms benefits and DOFR, and processes requests according to established UM guidelines. They handle a large volume of authorizations electronically and via facsimile, compose and respond to emails, and manage the telephone queue for both providers and members. The UM Coordinator should possess a solid understanding and experience of UM processes, including Medicare, Commercial, and Medi-Cal programs, benefits, and policies. They also address retro UM authorizations related to claims resolution. Additionally, the UM Coordinator assists members in navigating the complex health system, facilitating care redirection, appointment scheduling, resource coordination, and resolution of any barriers related to authorization or access to care. Other related duties may be assigned. MINIMUM QUALIFICATIONS
Pay Transparency Act Annual Full Pay Range: $62,765 - $62,765 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $30.06 - $30.06 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). |