JobMesh

Authorization Specialist/ UM Trainer

Partnership HealthPlan of California · Fairfield, California, US

Overview To process TARs for selected services using specific procedures and protocol and to provide administrative assistance to UM Coordinators and Leaders...

Job description

Overview To process TARs for selected services using specific procedures and protocol and to provide administrative assistance to UM Coordinators and Leadership staff as assigned. Serves as Systems Trainer for all new hires and provides ongoing education for all HS/UM staff. Responsibilities: - Prepares and maintains up-to-date training and educational materials for new and existing staff. - Provides hands-on training during new hire orientation. - Collaborates in the on-going trainings for staff education of latest department changes and updates, which includes but is not limited to NCQA standards, Whole Child Model and Essette. As well as, develop and distribute supporting material - Works closely with UM leadership to produce staff enhancement trainings, which includes development of the agenda, preparing materials and handouts, presenting the training in conjunction with leadership presenters. - Provides training not only to the designated department HS/UM but also HS/CC and internal Partnership’s departments that require support and knowledge of UM’s program and TAR process. - Monitors and has full proprietorship of the UM Departments Help Desk, which includes assessing inquir...