Patient Care Coordinator – National Remote

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.

Case management is the collaborative process that assesses plans, implements, coordinates, monitors and evaluates the options and services required to meet an individual’s health needs, using communication and available resources to promote quality, cost-effective outcomes.  Coordinators are responsible to assist with the identification, screenings and coordination of all healthcare services provided to a select managed care population.

Ambulatory Case management is defined as an established case management programs that assist in the delivery of quality care to enrolled patients. 

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.

We offer weeks of on-the-job training. The hours of the training will be based on schedule or will be discussed on your first day of employment.

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

 

Primary Responsibilities:

• Provides administrative support to ACM Nursing staff.
• Data entry of admits, discharge, entering and editing of authorizations for ACM programs.
• Creates, maintains and processes system reports as required.
• Responsible to maintain filing system; including but not limited to, organization, retrieving and purging.
• Maintain regular and consistent attendance.
• Acts as initial contact and resource for all ACM programs.
• Assists with the coordination of discharge planning, under the direction of the ACM nurse, as required.
• Communicates with members, family or caregiver when appropriate, as directed by ACM nurse.
• Maintains confidentiality of all member information and MHC business.
• Assists ACM staff with referrals for members to appropriate Health Plan, State or Federal Disease/Condition Management programs as required.
• Acts as resource for department staff, inter-departmental staff, Health Plans and HealthCare Team.
• Presents as a professional representative of Optum.
• Maintain and comply with all Optum policy and procedures.
• Perform any/all additional tasks as assigned by ACM Nurses, Supervisor and Manager.

 

Non – Essential Function:

• Attend in-services, training classes, and meetings relating to job tasks as required.

 

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
• Must be 18 years of age or older
• 2+ years of work experience in a medical back office OR medical field.
• Knowledge of medical terminology.
• 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:

• Analyze, and interpret job related scientific and technical journals, financial and data reports and legal documents.
• Managed care experience
• Proficiency with Data entry, Microsoft Word, Microsoft Excel 
• Ability to multi-task and support other areas of the department as needed.

 

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.

 

Soft Skills

• SKILLS AND ABILITIES:
  • Excellent communication skills, particularly telephone skills.
  • Self-motivated with effective critical thinking skills.
  • Ability to work collaboratively.
  • General knowledge of managed care, third party payers, regulatory requirements and government entitlement programs.
  • Typing skills and basic computer skill.
• LANGUAGE SKILLS:
  • Respond effectively verbally and in writing to inquiries or complaints from customers, regulatory agencies or members of the business community.
  • Communicate assertively as well as collaboratively with Management, staff, health plans, physicians, and patients.
  • Effectively present information to management team.
• MATHEMATICAL SKILLS:
  • Apply concepts such as fractions, percentages, ratios and proportions to practical situations.
  • Read and interpret daily department reports that include raw data, trends displayed in graphs. 
  • Explain, share and use this data with all staff members.
• REASONING ABILITY:
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. 
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Ability to set priorities, define and implement effective workflow and processes.

 

Physical and Work Environment:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel objects, tools, or controls and talk of hear.  The employee frequently is required to sit and reach with hands and arms.  The employee is occasionally required to stand and walk.
• The employee must occasionally lift and/or move up to 10 pounds.  Specific vision abilities required by this job include close vision.
• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

 

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

 

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington, Rhode Island, OR Washington, D.C. 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.

 

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.

 

 

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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