Description The Managed Care (MC) Utilization Management/Case Management Department is responsible for the Utilization Management (UM) and Case Management activities for the capitated HMO members for whom UC Davis Health System has contracted for their care.
Position Information Salary Range : $23.24 to $33.31 Salary Frequency : Hourly No. of Positions : 1 Appointment Type : Career Percentage of Time : 100% Shift Hour : Monday to Friday 8am-5pm Location : Broadway Building City : Union Representation : Yes Benefits Eligible : Yes
We offer exceptional employment benefits including medical, dental, and vision plans, generous paid vacations and holidays, excellent retirement savings and investment plans, continuing education, and reduced fee and scholarship programs.
This is not an H-1B opportunity.
Qualifications -Experience with EPIC electronic medical record. -Knowledge and understanding of medical terminology and coding. -Knowledge with managed care operations. -Experience with business office processes, including confidential business correspondence content and format. -Typing skills and proficiency with on-line computer applications, data entry and PC-based applications. Beginner level competency in MS Office Suite, MS Word, Excel, PowerPoint. -Experience maintaining accurate, up-to-date records and logs, composing reports, correspondence, and summaries in a comprehensive, organized manner.
SPECIAL REQUIREMENT -Must be able to work variable schedule as needed. -THIS POSITION MAY BE SUBJECT TO A CRIMINAL BACKGROUND INVESTIGATION, DRUG SCREEN, LIVE SCAN FINGERPRINTING, MEDICAL EVALUATION CLEARANCE, AND FUNCTIONAL CAPACITY ASSESSMENT
Responsibilities The Administrative Assistant provides administrative and clerical support to the department with tasks, including but not limited to completing denial and appeal letters, coordinating UM committee meetings with minutes preparation, maintaining databases, tracking and follow-up for timeliness of responses to the health plans, preparation of quarterly reports, and annual updates of policies and procedures, phone management, and various forms of data entry.
The University of California is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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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UC Davis is the home of the Aggies — go-getters, change makers and problem solvers who make their mark at one of the top public universities in the United States. Since we first opened in 1908, we’ve been known for standout academics, sustainability and Aggie Pride as well as valuing the Northern California lifestyle. These themes are woven into our 100-plus-year history and our reputation for solving problems related to food, health, the environment and society.Our 5,300-acre campus is in the city of Davis, a vibrant college town of about 68,000 located in Yolo County. The state capital is 20 minutes away, and world-class destinations such as the San Francisco Bay Area, Lake Tahoe and the Napa Valley are within a two-hour drive.