UR Case Management Assistant

The purpose of the Case Manager Assistant is to support and under supervision of the Clinical Case Manager to coordinate referrals and implement in facilitating the discharge plan developed and identified by the Clinical Case Manager. This position efficiently and effectively coordinating movement through the continuum of care to ensure timely discharge by effectively coordination of necessary durable medical equipment (DME), home care services, home health nurse/aide, therapies, hospice, home infusion, enterals and teaches.

The CMA will compile documentation from the patient's chart through Epic to produce a discharge packet for all patients discharging to a SNF/Acute/Rehab facility this packet will be delivered to the patient's floor before the arrival of the ambulance. The CMA will monitor all primary and secondary Medicare in-patients insuring they are delivered the Important Message from Medicare before discharge. The CMA will reach hospital authorizations approvals/denials and requests for additional medical documentation. Verify correct level of care in the Clinical Case Management module and Epic Auth Certification tab.

Apply By Date: September 12, 2025 at 11:59pm. Selection activities may start at any time.

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• High School Diploma, GED or equivalent work-related experience
• Two years (2) experience in acute or post-acute discharge planning or case management experience in a large academic healthcare setting.
• Extensive knowledge of health insurance regulations, policies and procedures, Medi-Cal, Medicare guidelines, private insurance and managed care operations and workers compensation.
• Knowledge of terminology, abbreviations and acronyms of medical and nursing treatment plans and level of care.
• Physical and emotional stamina to regularly work within tight time frames and critical deadlines; to deal with upset irate or hostile members of the public.
• Good problem solver with the ability to define, clarify, and set priorities for producing quality results.
• Must have the ability to learn the dynamics of the organization, both operational and political, and must be resourceful and diplomatic in facilitating the completion of projects.
• Knowledge of use of computers, including Epic and Allscripts applications, WEB based search engines, and other software programs, including Microsoft Office, i.e. PowerPoint, Excel and Access Typing skills and working knowledge of printers, copies, scanners and fax machines.
• Understands the need to utilize discretion and maintain confidentiality when discussing patient matters.
• Ability to read and comprehend English text.
• Must be able to communicate effectively with diverse audiences including physicians, nurses, allied health professionals, administrators and a wide variety of non-technical staff.
• Ability to request authorizations electronically for outpatient professional medical services via external websites/web-links.

Preferred Qualifications

• Bachelor's degree in Healthcare Management, Public Health, or other healthcare or related field highly preferred.
• Minimum two years (2) experience working in a health care organization
• Demonstrated awareness of and sensitivity to dealings with cultural and socioeconomic diversity.
• Knowledge and understanding of institutional goals and principles.
• Knowledge of DME/HH resources in the community and UCDH.

Key Responsibilities

• 50% - Insurance Verification
• 15% - Documentation and Communication
• 15% - Customer Service and Interpersonal Skills
• 10% - CMA Process and Practice
• 10% - Medicare Important Message Delivery

Department Overview

Clinical Case Management Department

Department Specific Job Scope

This position coordinates discharge referrals, chart copy, insurance authorization/denial letters and deliver IM letters.
Must be able to speak, see, hear, read and write enough to communicate effectively over the phone, in person and in writing. Applies knowledge, experience and judgment to determine the importance of a situation, set priorities, and use abstract thought to evaluate situations. Participates in patient and staff education. Demonstrates accountability for own practices as defined by the Policy.

POSITION INFORMATION

• Salary or Pay Range: $31.24 - $38.82
• Salary Frequency: Hourly
• Salary Grade: 235
• UC Job Title: ACCESS REPR PRN
• UC Job Code: 009099
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100
• Shift (Work Schedule): 7:30 AM-4:00 PM
• Location: Medical Records Building (HSP012)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes
• This position is 100% on-site
• This position is not an H-1B visa opportunity

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

* High quality and low-cost medical plans to choose from to fit your family's needs
* UC pays for Dental and Vision insurance premiums for you and your family
* Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
* Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
* Access to free professional development courses and learning opportunities for personal and professional growth
* WorkLife and Wellness programs and resources
* On-site Employee Assistance Program including access to free mental health services
* Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
* Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
* Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Occasional Up to 3 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Indoor workstation, occasionally walking to hospital

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks