Case Management Coordinator

Job Detail

• Job Title:

  Case Management Coordinator

• Department:

  81160-Case Management

• Location:

  Farmington

• FTE%:

  1

• Shift

  1st

• Search #:

  2026-1148

• Closing Date:

  05/13/2026

• Recruiter:

  Alexander, Donna

Additional Links:

• This position is Benefit eligible; click here for an overview of available benefits.
• This position is covered by the UHP Bargaining Unit; click here to review the current UHP Contract
• This position is in salary group UHP-05; click here to review the current UHP Pay Plan.

Excellence, Teamwork, Leadership, and Innovation. These values define UConn Health. We are looking for team members that share these same values. Our top-rated organization is looking to add a Case Management Coordinator to our Case Management team. If you have a background in this field, we want to hear from you

At UConn Health, the Case Management Coordinator supports the Case Management and Hospital Social Work teams by coordinating authorization workflows, managing payer communications, and ensuring accurate documentation of patient status, level of care, and authorizations. This role plays a critical part in maintaining regulatory compliance, supporting timely patient care, and reducing financial risk through authorization and denial management.

SUPERVISION RECEIVED:

Works under the supervision of an employee of higher grade.

SUPERVISION EXERCISED:

May lead/supervise lower-level employees as assigned.

EXAMPLES OF DUTIES:

Review and process all new patient admissions, prioritizing accounts based on admission date, payer requirements, and authorization timelines.

Manage work queues by sorting accounts from oldest to newest, ensuring completion of all prior-day admissions before advancing to current-day cases.

Review inpatient and observation census work queues to prioritize accounts and ensure initial and concurrent authorizations are obtained and documented.

Coordinate authorization activities based on payer-specific guidelines and requirements.

Maintain accurate payer contact information, including phone and fax numbers, and manage an internal payer "address book" for frequently used payers not accessible through payer portals.

Document authorized days in EPIC, ensuring alignment with patient status and level of care for each day of hospitalization.

Identify and escalate discrepancies or disagreements regarding level of care to the appropriate care provider.

Assign and track next review dates as communicated by payers, collaborating with care team to ensure timely follow-up.

Route accounts which require priority or urgent clinical review to the appropriate clinical request work queues.

Validate that all commercial and managed care discharges have appropriate authorizations for patient status and level of care through the designated post-discharge timeframe.

Transfer discharged cases without authorization after the established timeframe to post-discharge authorization coordinators.

Refer payer denials to the assigned care provider, including detailed denial reasons and peer-to-peer requirements.

Notify the appropriate care provider of payer requests for additional clinical information and document all communications in the clinical request work queue.

Confirm successful transmission and documentation of all clinical information by the care team.

Manage urgent assignments, priority communications, and accounts identified through internal and external priority reports.

Collaborate with Patient Access when denial reasons are related to incorrect or incomplete insurance information.

Escalate unresolved issues to leadership, including delays in denial responses or peer-to-peer completion, repeated authorization failures after multiple payer attempts, and ongoing inaccuracies in payer information.

Performs other duties as required.

MINIMUM QUALIFICATIONS REQUIRED KNOWLEDGE, SKILL, AND ABILITY:

Strong organizational and prioritization skills

Attention to detail and accuracy in documentation

Effective communication and collaboration across multidisciplinary teams

Familiarity with EPIC or similar electronic health record systems

EXPERIENCE AND TRAINING.

General Experience:

Five (5) years' administrative experience.

SUBSTITUTION ALLOWED:

Bachelor's degree and one (1) year experience in a health care setting.

PREFERRED REQUIREMENTS:

Knowledge of case management, utilization review, and payer authorization processes

Administrative experience in a healthcare setting.

WORKING CONDITIONS :

Requires prolonged periods of sitting and extensive use of a computer, keyboard, and mouse.

Must be able to focus on detailed tasks for extended periods with minimal supervision.

Incumbents may work in fast-paced inpatient care settings and may encounter individuals and families during emotionally challenging or urgent situations.

Requires walking between units, prolonged standing or sitting, and meeting patients in a variety of settings

SCHEDULE: Full time, 40 Hours per week, primarily 8:00 am to 4:30 pm, Monday - Friday, rotating weekends and minor holidays as assigned, 30-minute unpaid meal break.

Why UConn Health

UConn Health is a vibrant, integrated academic medical center that is entering an era of unprecedented growth in all three areas of its mission: academics, research, and clinical care. A commitment to human health and well-being has been of utmost importance to UConn Health since the founding of the University of Connecticut schools of Medicine and Dental Medicine in 1961. Based on a strong foundation of groundbreaking research, first-rate education, and quality clinical care, we have expanded our medical missions over the decades. In just over 50 years, UConn Health has evolved to encompass more research endeavors, to provide more ways to access our superior care, and to innovate both practical medicine and our methods of educating the practitioners of tomorrow.