Manager, Admissions & Central Authorization - F/T - Days at University of California, Irvine

Orange, California, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Jun, 26

Salary

0.0

Posted On

29 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Operational Leadership, Administrative Oversight, Supervision, Patient Intake, Bed Placement Coordination, Insurance Verification, Pre-certification, Prior Authorizations, Denial Management, Workflow Process Development, Metric Establishment, Staff Development, Productivity Monitoring, Problem Solving, Prioritization, Organization

Industry

Hospitals and Health Care

Description

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County. To learn more about UCI Health, visit www.ucihealth.org. Your Role on the Team Position Summary: The Manager, Admissions & Central Authorization is responsible for the operational leadership, administrative oversight, and daily supervision of both facility admissions and systemwide inpatient central authorization functions within their designated area. The incumbent is accountable for all operational, administrative, and supervisory activities within the assigned programs, ensuring admissions and authorization services are performed accurately, efficiently, and in accordance with regulatory, accreditation, payer, revenue cycle, and health system standards. This role maintains responsibility for the planning, coordination, and evaluation of admissions operations, encompassing patient intake, bed placement coordination, insurance verification, pre-certification, and admitting functions, as well as the timely and accurate procurement of prior authorizations across all supported service lines and facilities, including authorization submission, payer follow-up, denial management, and documentation accuracy. The Manager provides direct oversight to supervisory and operational staff across both functional areas and participates in hands-on operational activities as needed. This position is accountable for departmental performance, including operational processes and financial stewardship, and collaborates with clinical, nursing, perioperative, case management, utilization management, managed care, revenue cycle, and administrative leadership to support quality improvement initiatives, staff development, technology and workflow planning, and the achievement of departmental performance goals across both functions. The Manager exercises independent judgment in managing day-to-day departmental operations, staffing, and the execution of established admissions and central authorization program objectives seven days a week, 24 hours a day. What It Takes to be Successful Required Qualifications: Must possess the skill, knowledge and ability essential to the successful performance of assigned duties Must demonstrate customer service skills appropriate to the job Minimum 5 years managerial experience with demonstrated ability to lead, develop workflow process, establish measurable metrics and develop staff Excellent written and verbal communication skills in English Demonstrated knowledge of managed care, commercial and government benefits and billing guidelines Demonstrated ability to monitor productivity Ability to problem solve, prioritize and organize work Ability to maintain a work pace appropriate to the workload, securing authorizations in an approved timeline. Total Rewards We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits. Conditions of Employment: The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment: Background Check and Live Scan Employment Misconduct* Legal Right to Work in the United States Vaccination Policies Smoking and Tobacco Policy Drug Free Environment *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. The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements. California Child Abuse and Neglect Reporting Act E-Verify Pre-Placement Health Evaluation Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php Closing Statement: The University of California 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 categories covered by the UC Anti-Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m. Consideration for Work Authorization Sponsorship Must be able to provide proof of work authorization

Responsibilities

The Manager is responsible for the operational leadership, administrative oversight, and daily supervision of facility admissions and systemwide inpatient central authorization functions. This includes ensuring services are accurate and efficient according to regulatory standards, covering patient intake, insurance verification, pre-certification, and prior authorization management.