Description
**If you are located within 50 miles of San Bernardino, CA, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges.**
**Optum** is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
Positions in this function includes those responsible for, administrative intake of members or managing the admission/discharge information post-notification, working with providers and the Clinical Team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Member outreach to introduce and enroll into the Model of Care Regulatory program , includes coordination of care for these members and work along side RN/LVN Case Manager.
Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California, to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions.
The **Clinical Administrative Coordinator** is responsible for administrative intake of members or managing the admission/discharge information post-notification, working with providers and the Clinical Team. Includes managing incoming calls, managing requests for services from providers/members, providing information on available network services and transferring members as appropriate to clinical staff. Member outreach to introduce and enroll into the Model of Care Regulatory program , includes coordination of care for these members and work along side RN/LVN Case Manager.
This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 1615 Orange Tree Lane, Redlands, CA 92374
We offer weeks of on-the-job training. The hours during training will be 8:00am - 5:00pm, Monday - Friday.
-*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.-
**Primary Responsibilities:**
Respond to patient questions over the phone.
Make patient follow up calls (e. g., after procedures, admissions, or ER visits) to identify/close gaps in care
Ask patients for and/or assist patients with completing required paperwork (e. g., health history, insu. rance documentation, etc.)
Connect patients with outside resources (e. g., community resources, social services) to promote self care
Review and support implementation of patient plan of care
Work directly with patients to identify specific needs and/or request adjustments to plan of care
Coordinate services/case management for non-episodic and non-catastrophic cases
Manage/respond constructively to challenging patient interactions (e. g., address lack of understanding, socioeconomic challenges, frustrated patients, language barriers)
Explain medical benefits/coverage specifics (e. g., procedures/amounts covered, denials of coverage, appeal rights)
Other duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
High School Diploma/GED or equivalent work experience.
1+ years of experience working in a healthcare office setting.
Intermediate level of proficiency with Microsoft Office.
Must be 18 years of age or older.
Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime.
**Preferred Qualifications:**
1+ years of experience working in a customer service role
**Telecommuting Requirements:**
Reside within 50 miles of San Bernardino, CA
Ability to keep all company sensitive documents secure (if applicable)
Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.
**California Residents Only:** The hourly range for this is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
-At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.-
-Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability stat
Compensation Information:
$16.54 / Hourly - $16.54 / Hourly
Starting At: 16.54 Hourly
Up To: 32.55 Hourly
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