Skilled Facility Navigator CAC – Las Vegas, NV

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.

This position will be on – site at assigned skilled facilities. The Skilled Facility Navigator CAC Position is responsible for assisting our Optum NV Medicare Advantage members at the facility bedside upon admission to the skilled facility up through discharge focusing on ensuring a safe discharge plan and preventing a return to acute facility admission for our higher risk population.  

This position is full-time, Monday – Friday. Employees are required to work our normal business hours of 8:00 AM – 5:00 PM PST. Our office is located at 2716 N Tenaya Way, Las Vegas, NV.

We offer weeks of paid on-the-job training. The hours during training will be 8:00 AM – 5:00 PM PST from Monday – Friday.

Primary Responsibilities: 

• Will collaborate and work closely with Optum SNFists and facility personnel.
• Manage intake of SNF members
• Work with SNF facilities and the clinical team to manage requests for services from members and / or providers
• Process incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles
• Document and assist the clinical staff with setting up documents / triage cases for Clinical Coverage Review 
• Handle resolution / inquiries from members and / or providers

You’ll need to be efficient, productive and thorough dealing with our members over the phone and in person.

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 years of experience
• 1+ years of customer service experience
• Experience with Windows – based programs, including Microsoft Word, Microsoft Excel, and Microsoft Outlook
• Ability to work any shift between the hours of 8:00 AM – 5:00 PM PST from Monday – Friday
• Must be 18 years of age OR older

Preferred Qualifications:

• 2+ years of clinical customer service experience
• Experience within the health care Industry working in a hospital, physician’s office, OR medical clinic setting and with health care insurance
• Previous clerical OR administrative support experience

Nevada Residents Only: The hourly range for Nevada residents 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 status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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

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