Member Clinical Support Coordinator – Transitions Administration

This position is National Remote. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together.

The Member Clinical Support Coordinator – Transitions Administration plays a critical role in supporting key administrative functions across the Community Transitions Program (CTP), Optum Transitions to Home (OTTH), and the Medication Reconciliation Program (MRP). This position ensures smooth coordination between members and clinicians by managing essential tasks that facilitate timely access to transition of care services.

This role involves outbound calls, extracting and analyzing data from multiple Excel reports and processing it within Electronic Medical Records (EMR) systems, following specific guidelines tailored to each transitions program. Accuracy and attention to detail are vital to ensure timely notifications and assignments that support member care. Operating in a fast-paced, high-volume environment, this role emphasizes teamwork, quality, and performance. It is a virtual position, allowing you to work from the comfort of your home while contributing meaningfully to care coordination efforts.

This position is full-time (40 hours/week) Monday – Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 7:30 am – 4:00 pm. It may be necessary, given the business need, to work occasional overtime.

We offer 2 weeks of on-the-job training. The hours of training will be aligned with your schedule.

 

Primary Responsibilities:

• Assess member eligibility daily to the appropriate transitions program, ensuring continuity of care in collaboration with transitions clinicians.
• Make outbound calls to providers and pharmacies
• Research internal and external resources-such as pharmacies and primary care provider offices-to validate contact information for dialer exclusion members.
• Accurately document relevant information within Electronic Medical Records (EMRs), including systems such as ICUE and Pathway.
• Efficiently navigate and operate multiple technology platforms to support workflow, including CommunityCare, Doc360, nH Coordinate, and Maestro.
• Maintain confidentiality of health information in compliance with state and federal regulations, including HIPAA.
• Adhere to established policies and procedures aligned with regulatory and organizational standards.
• Uphold a strong commitment to quality in all aspects of work.
• Demonstrate consistent schedule adherence and reliable attendance.
• Meet or exceed performance metrics related to quality, productivity, and outcomes.

 

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
• Must be 18 years of age OR older
• 1+ years of experience in healthcare, social work, community outreach, or advocacy.
• 1+ years of experience working with Medicare and/or Medicare/Medicaid populations, including DSNP and CSNP membership.
• Proficiency in Microsoft Office applications:
  • Word – create, edit, and save documents
  • Excel – sort and filter data
  • Outlook – manage email, folders, attachments, and calendar functions
• Ability to work five days a week, Monday through Friday, during our normal business hours of 7:30am – 4:00pm CST.

 

Preferred Qualifications:

• Accountability and ownership of responsibilities
• Proven ability to deliver results
• Positive influence and collaboration with others

 

Telecommuting Requirements:

• 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.

 

*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy

 

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $20.38 – $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

 

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

 

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.

 

 

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

 

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.