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Case Management Assistant I
Job
Los Angeles County Fire Fighter’s Local 1014
El Monte, CA (In Person)
$66,934 Salary, Full-Time
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Job Description
Works under the direction of the UM Manager. Organize and log correspondence in Case Management Systems associated with utilization review, case management, authorizations, discharge planning, TPL and Worker's Compensation files. Match to open cases and coordinate with the Claims Department and other organizational units as necessary. Coordinate paper and electronic files to ensure they are accessible and kept according to applicable retention and confidentiality requirements. Coordinate Physician Advisory review documentation. This involves sending correspondence to the IRO's outlining cases to be reviewed, following up to ensure results of reviews are obtained in a timely manner and maintaining electronic folder. Distribute various department correspondences to members, MD's, Vendors, facilities, IRO Panels and consultants, including treatment approvals, denials, explanation of services, information requests, and miscellaneous letters. Assist in preparing information packets related to various benefits, therapies, liens and court hearings, Coordinate with PCC and CMA II to ensure proper information is included. Assist PCC with Board of Trustees presentations. Assist PCC/Case Management Assistant II with statistical reports as necessary utilizing Case Management System, BASYS, OnBase, PCC Department information logs and other applicable resources.