Cord, Quality/PI, Utilization Review Coordinator

2 weeks ago


Lakewood, United States University Of California Irvine Full time
Job Title:

Cord, Quality/PI, Utilization Review Coordinator

Job Summary:

The Case Management Operations Coordinator / APC Coordinator provides system support services for the Case Management Staff. The Coordinator assists the Director of Case Management for hospital utilization performance improvement and daily operations of the case management department to promote effective utilization of hospital resources, ensure processes support appropriate reimbursement for services rendered, support efficient patient throughput and ensure compliance with all state and federal regulations related to case management services.

Responsibilities:
  • Assist the Director of Case Management for hospital utilization performance improvement and daily operations of the case management department.
  • Provide system support services for the Case Management Staff.
  • Ensure processes support appropriate reimbursement for services rendered.
  • Support efficient patient throughput.
  • Ensure compliance with all state and federal regulations related to case management services.
Requirements:
  • 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:
  • Knowledge of University and medical center organizations, policies, procedures and forms.
Conditions of Employment:
  • Background Check and Live Scan.
  • Legal Right to Work in the United States.
  • Vaccination Policies.
  • Smoking and Tobacco Policy.
  • Drug Free Environment.
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.



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