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#89603 Worker's Compensation Coordinator

Filing Deadline: Wed 9/27/2017

UCSD Layoff from Career Appointment: Apply by 9/18/17 for consideration with preference for rehire. All layoff applicants should contact their Employment Advisor. Eligible Disability Counseling and Consulting services (DCC) or Special Selection clients should contact their Vocational Rehabilitation Counselor for assistance.

DESCRIPTION

Under minimal supervision, the Worker's Compensation Coordinator acts as liaison between physicians, adjusters, nurse case managers and employers to expedite delivery of medical care for workers compensation patients. Provides case coordination for WC patients; provides QA review of forms and of medical reports for completeness and accuracy to ensure they meet ACOEM guidelines; assists clinicians with preparation of Permanent & Stationary reports according to AMA guidelines. Secures authorization and process referrals for specialty care and diagnostic testing requested by COEM providers. Serves as a resource for staff/faculty regarding WC laws and procedures. Supports/trouble shoots departmental IT systems; Serves as a Super user/Administrator for Ishare site; acts as an IT resource for departmental staff. Develops and implements EMR forms. Requires strong understanding of workers' compensation system, laws and procedures. Demonstrated skill using MS Office and Adobe Acrobat. Provides staff training as required. Job standards are to be performed at the EXPERT level.

MINIMUM QUALIFICATIONS

  • Demonstrated ability to analyze and interpret policies, rules, laws and regulations by performing case management and analyzing and reviewing large quantities of medical reports and extracting pertinent information such as diagnosis, work status, estimated and transitional return to work, and treatment plans.

  • Prior experience with and knowledge of Workers’ Compensation guidelines and California law.

  • Experience working with insurance carriers, third party administrators, referral sources and outside employers regarding Workers' Compensation services.

  • Demonstrated ability to maintain confidentiality.

  • Demonstrated communication skills, both verbal and written, including knowledge of proper business formats, grammar, spelling and punctuation.

  • Demonstrated customer service skills with the ability to answer in-person and written requests, and telephone calls and impart accurate and current information in a courteous, friendly and professional manner.

  • Skill to use word processing, database, spreadsheet, e-mail, and web-based software. Skill to use Microsoft Office Suite, including Word, Excel, Access, PowerPoint and other software, and web-based functions.

  • Demonstrated knowledge of federal HIPAA regulations and state health insurance laws.

PREFERRED QUALIFICATIONS

  • Knowledge of and experience with University Workers’ Compensation policies and procedures

  • Knowledge of medical and insurance terminology.

  • Experience using IFIS and EPIC.

  • Knowledge of insurance claims processing and interpreting explanation of benefits.

  • Experience using Systoc EMR.

SPECIAL CONDITIONS

  • Must be able to provide transportation between Thornton Hospital, UCSDMC, COEM and customer sites.

  • Variable hours; overtime may be required.

  • Must be able to work various hours and locations based on business needs.


UC San Diego Health is the only academic health system in the San Diego region, providing leading-edge care in patient care, biomedical research, education, and community service. Our facilities include two university hospitals, a National Cancer Institute-designated Comprehensive Cancer Center, Shiley Eye Institute, Sulpizio Cardiovascular Center, and several outpatient clinics. UC San Diego Medical Center in Hillcrest is a designated Level I Trauma Center and has the only Burn Center in the county. We invite you to join our dynamic team!

Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached.

UC San Diego Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity or sexual orientation. For the complete University of California nondiscrimination and affirmative action policy see: http://www-hr.ucsd.edu/saa/nondiscr.html

UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information.

UCSD Health Sys
Payroll Title:
BLANK AST 3
Department:
Occupational & Envir. Medicine
Salary Range
Commensurate with Experience
Worksite:
Other
Appointment Type:
Career
Appointment Percent:
100%
Union:
Uncovered
Total Openings:
1
Work Schedule:
Days, 8 hrs/day, Mon - Fri