Field Based Clinical Administrative Coordinator – Las Vegas, NV

Optum NV is seeking a Skilled Facility Navigator CAC to join our team in Las Vegas, NV. Optum is a clinician-led care organization that is changing the way clinicians work and live.

 

As a member of the Optum Care Delivery team, you’ll be an integral part of our vision to make healthcare better for everyone.

 

At Optum, you’ll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you’ll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.

This position will be field based at assigned skilled facilities. The Clinical Administrative Coordinator 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.

Will collaborate and work closely with Optum SNFists and facility personnel.

This position is full-time, Monday – Friday. Employees are required to work during our normal business hours of 8:00am – 5:00pm PST. It may be necessary, given the business need, to work occasional overtime. Our office is located at 2716 N Tenaya Way, Las Vegas, NV.

We offer 90 days of on-the-job training. The hours during training will be 8:00am – 5:00pm PST, Monday – Friday.

 

Primary Responsibilities:

• 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 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 patient service/health care experience
• 1+ years of experience within the health care Industry working in a hospital, physician’s office, OR medical clinic setting and with health care insurance
• Experience with Windows-based programs including Microsoft Word, Microsoft Excel and Microsoft Outlook
• Ability to travel up to 75% of the time
• Ability to work Monday – Friday, during our normal business hours of 8:00am – 5:00pm PST, including the flexibility to work occasional overtime based on the business need.
• Reside within commutable distance to the office at 2716 N Tenaya Way, Las Vegas, NV
• 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

 

Preferred Qualifications:

• 2+ years of clinical customer service experience
• Previous clerical OR administrative support experience

 

Nevada 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 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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