HomeMy WebLinkAboutMINUTES - 04052011 - C.34RECOMMENDATION(S):
ADOPT Position Adjustment Resolution No. 20900 to add one (1) full-time Health Plan
Authorization Representative (VRTA) (represented) position at salary level 3RX 1119 ($3,227- $4,121) in the Health
Services Department.
FISCAL IMPACT:
Upon approval, this action will result in an annual cost of approximately $83,576, including pension costs of $16,517,
and will be fully funded with Contra Costa Health Plan member premiums.
BACKGROUND:
The Contra Costa Health Plan Authorization Unit has had an increase in demand of services, which has caused
staffing shortages and increasing workloads. In order to meet current staffing needs, the unit has been utilizing
temporary employees. However, due to the steadily increasing Health Plan enrollments and referrals, there is a need
for a permanent full-time position. This position will be responsible for receiving and entering prior authorization
requests for medical services or non-formulary prescription drugs. Respond to providers, members, claims, and
member services inquiries;
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD
COMMITTEE
Action of Board On: 04/05/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYES 5 NOES ____
ABSENT ____ ABSTAIN ____
RECUSE ____
Contact: Terrina C. Manor,
957-5248
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of
the Board of Supervisors on the date shown.
ATTESTED: April 5, 2011
David J. Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tanya Stulken, Eva Barrios, Roxana Mendoza, Terrina Manor
C.34
To:Board of Supervisors
From:Ted Cwiek, Human Resources Director
Date:April 5, 2011
Contra
Costa
County
Subject:P300 #20900 Add one Health Plan Authorization Technician in the Health Services Department.
BACKGROUND: (CONT'D)
accurately code each requested service and procedure and process authorization requests within established
timelines; communicate with providers and members regarding approval/denial/modification of requests and appeal
determinations.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, services may be adversely impacted.