Care Manager Assistant PD

Rady Children's Health Orange County (CHOC); Orange (CA); On-site; USD 35,000 - 37,000; Full time

Job summary

Rady Children’s Health Orange County (CHOC) is seeking a Care Coordination liaison in Orange, CA to connect patients and families with the appropriate level of service across the care continuum. You will collaborate with care teams to reduce barriers to care and educate families on timely access to resources.

Responsibilities include navigating medical terminology, verification and authorization processes, and maintaining professionalism in a dynamic hospital environment.

Qualifications

• Strong interpersonal communication and ability to work with diverse families.
• Knowledge of medical terminology and insurance verification processes.
• Ability to obtain authorization for appropriate treatment settings.

Skills

Interpersonal communication

Conflict resolution

Problem solving

Negotiation

Medical terminology

Insurance verification

Authorization processes

Time management

Work under pressure

Education

High School diploma or equivalent

Bachelor's degree in related field

Job description

Work Location

Orange, California

Work Shift

Day – 08hrs (United States of America)

Why RCH?

At RCH, we strive to be the leading destination of children’s health by providing exceptional and innovative care. We are responsible for the overall health of our community’s pediatric population in our hospitals, clinics, and practices. And because of our breadth of care, your career at RCH can be as diverse and fulfilling as you determine. RCH’s compensation structure, benefits offerings, and career development programs are geared to helping you achieve your professional and personal goals.

Environmental Sustainability Statement

Driven by the connection between children's health and a healthy environment, we commit to creating a healthcare model that incorporates environmental sustainability aligned with our mission to protect children's health and patient safety.

Job Summary

Reporting to the leadership of Care Coordination, in collaboration with the VP of Population Health, this position serves as a liaison to connect patients and families to the correct level of service in the healthcare system to ensure optimal health outcomes. Collaborates closely with members of the care team to identify and reduce barriers to care; assist families in locating and accessing resources; and educate families on the importance of accessing care promptly.

Pay Range

Minimum $25.50 Midpoint $25.50 Maximum $26.63

Rate of pay is determined by various factors, including but not limited to knowledge, skills, competencies, experience, education, as well as position requirements.

Experience Minimum Required: 1 year administrative or clerical experience Experience Preferred Desired: 2-3 years administrative or clerical experience in a medical office setting or hospital based environment with patient and family interaction. Knowledge of medical terminology, insurance verification and authorization processes. Education Description: Education Minimum Required: High School diploma or equivalent. experience Education Desired Preferred: Bachelors degree in related field. Training Description: Training Minimum Required: Training Desired Preferred: Special Skills Description: Special Skills Minimum Required: Ability to work effectively under pressure due to changing priorities, interruptions, high/low census, payer demands and discharge planning demands. Excellent interpersonal communication, including conflict resolution, problem solving and negotiation skills. Clinical knowledge of multiple age groups, medical illness and treatment plans according to disease process, diagnosis and anticipated LOS. Strong organizational and time management skills, as evidenced by capacity to multi-task and prioritize Ability to work independently and exercise sound judgment in interactions with physicians, payers, patients and their families. Demonstrates the knowledge and skills necessary to communicate with third party payers to obtain authorization for the appropriate treatment setting for patients requiring medical, psych and chemical dependency treatment. Must be proficient in required competencies upon completion of orientation and maintain annual departmental competency requirements. Ability to work collaboratively regardless of social, economic and cultural backgrounds. Computer skills in using Microsoft Office (Excel, Word, Power Point, Access) Computer knowledge to include skills in using Microsoft Office (Excel, Word, Power Point, Access). Special Skills Desired Preferred: Knowledge of CCS/Medi-Cal regulations and requirements. Knowledge of third party payor requirementsin order to optimize reimbursement Bi-lingual Licensure Description: Licensure Minimum: Licensure Preferred:

Work Environments – Functional Demand:

Medium – High energy level Lift and carry 40-50 lbs. Push/pull +/- 150-200 lbs. (Patients on bed, stretcher) Lateral transfer 150-200 lbs. (ie. Patient) .

Physical Activity Requirements:

Bending, Carry Objects, Climbing, Keyboard use/repetitive motion, Pinching/fine motor activities, Push/Pull, Reaching forward, Reaching overhead, Sitting, Squat/kneel/crawl (Squad & Knee), Standing, Talk or hear, Taste or smell, Twisting, Walking, Wrist position deviation

Physical Activity Lifting

Lifting (Floor to waist level) – Constant 67 or more%, Lifting (Floor to waist level) – Frequent 36-66%, Lifting (Floor to waist level) – Occasional 0-35%, Lifting (Waist level and above) – Constant 67 or more%, Lifting (Waist level and above) – Frequent 36-66%, Lifting (Waist level and above) – Occasional 0-35%

Sensory Requirements:

Color Discrimination, Depth Perception, Far Vision, Hearing, Near Vision

Environment Requirements

Airborn Communicable Disease, Bloodborne Pathogens, Chemical, Dust Particular Matter, Extreme Noise Levels, Extreme Temperatures, Radiation, Uneven Surfaces or Elevations

Non-Discrimination Statement

RCH does not discriminate on the basis of age, race, color, religion, national origin, ancestry, marital status, genetic information, disability, sex, gender (including pregnancy, breastfeeding, childbirth, lactation or related medical conditions), gender identity or expression, medical condition, sexual orientation, veteran status, military or uniformed service member status, or other protected characteristics in accordance with state and federal laws. RCH will consider for employment qualified applicants with criminal histories, in accordance with the Fair Chance Initiative for Hiring.

We encourage individuals from all backgrounds to apply for positions at RCH, even if your experience doesn’t align perfectly with the listed qualifications for a particular role, as your unique experience may be a great addition to our culture for another one of our opportunities.

If you desire support or accommodations throughout the Talent Acquisition process, please inform your Talent Acquisition Partner.