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Care Management Associate - La Jolla - 136940

  2025-10-06     UC San Diego Health     San Diego,CA  
Description:

Join to apply for the Care Management Associate - La Jolla - 136940 role at UC San Diego Health.

Filing Deadline: Thu 10/16/2025. Apply Now

Payroll Title: HOSP BLANK AST 3
Department: Care Management
Hiring Pay Scale: $27.49 - $34.17 / Hour
Worksite: Jacobs Medical Center
Appointment Type: Career
Appointment Percent: 100%
Union: EX Contract
Total Openings: 1
Work Schedule: Days, 8 Hour Shifts, Monday-Fridays, some weekends

Description:

In collaboration with the RN Case Manager, patient/family, healthcare team and payors, the Care Management Associate coordinates the care services for assigned patients for an episode of illness or treatment as defined by the Case Manager. Promotes the effective utilization of resources using current knowledge and awareness of community resources to achieve optimal care. This includes assisting with discharge planning, insurance verification, and authorization obtaining necessary resources, sending referrals, making follow-up medical appointments, and appropriate documentation of activities in all required computer systems. Other related duties as assigned.

Minimum Qualifications:

  • Three (3) years of Care Management support or related experience in a healthcare setting.
  • Extensive and demonstrated knowledge of Government and Commercial insurance plans.
  • Thorough knowledge and understanding of managed care plans.
  • Proven ability to utilize payor and government website to access and interpret health plan benefits packages and make determinations.
  • Demonstrated experience with referral authorization process.
  • Experience with MS Office. General understanding of medical terminology.

Preferred Qualifications:

  • High level of customer service experience.
  • Experience in an acute care hospital setting.
  • Experience with Epic or other EMR systems.
  • Experience arranging post-acute services and equipment for patients.
  • Experience with Allscripts referral system.
  • Experience in a hospital admitting department.
  • Experience with registration and/or billing computer software programs.

SPECIAL CONDITIONS:

  • Variable work hours and locations. Willing to work overtime as required.
  • Must be able to work various hours and locations based on business needs.
  • Employment is subject to a criminal background check and pre-employment physical.

Pay Transparency Act: Annual Full Pay Range: $57,399 - $71,347 (will be prorated if the appointment percentage is less than 100%). Hourly Equivalent: $27.49 - $34.17

UC San Diego values and welcomes people from all backgrounds. If you are interested in being part of our team, possess the needed licensure and certifications, and feel that you have most of the qualifications and/or transferable skills for a job opening, we strongly encourage you to apply.

UC San Diego is an Equal Opportunity 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 status under state or federal law.

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