Case Care Coordinator - National Remote

Dallas, Texas


Employer: UnitedHealth Group
Industry: Medical & Clinical Operations
Salary: $19.47 - $38.08 per hour
Job type: Full-Time

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

At Optum, the mission is clear: Help people live heathier lives and help make the health system work better for everyone.

LHI is one of 4 businesses under OptumServe. OptumServe provides health care services and proven expertise to help federal government agencies modernize the U.S. health system and improve the health and well - being of Americans. By joining OptumServe you are part of the family of companies that make UnitedHealth Group a leader across most major segments in the U.S. health care system. LHI was founded in 1999 and acquired by Optum in 2011, LHI specializes in creating and managing health care programs through on - location services, patient - specific in - clinic appointments, telehealth assessments, or any combination based on customer need. LHI's customizable solutions serve the diverse needs of commercial customers, as well as federal and state agencies, including the U.S. Departments of Defense, Veterans Affairs, and Health and Human Services.

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Ready for a new path? Start doing your life's best work.SM

Case Care Coordinator will schedule over the phone with numbers with for care coordination through the program. Task work that will support, such as record review and reaching out to members.

Primarily outbound calling scheduling appts.

The Case Care Coordinator is the primary point of contact for each individual member. They will work directly with the member to take on a holistic, proactive approach as it relates to the members healthcare. You will work through items such as intake, care plan, treatment needs, as well as coordinating efforts with member's primary care provider as well as other treatment facilities. The Case Care Coordinator with communicate with a diverse group of people across multi-disciplines while serving as point of contact for internal and external entities. The Case Care Coordinator will also summarize and prepare inquiries to submit to the Medical Director under the supervision of the RN Case Manager.

This position is full time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules between our normal business hours of 8:00am - 5:00pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer 3 - 4 weeks of paid training. The hours of training will be 8:00am to 5:00pm EST.

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Primary Responsibilities:

  • Complete intake calls to welcome members to the program
  • Initiate care plans and enter in all relative information from the issues at hand to interventions
  • Promote adherence to care plan, developed in coordination with the member, primary care provider as well as other treating providers
  • Assess members unmet needs, coordinate services and treatment needs
  • Identify early risk factors and conduct ongoing assessments and document appropriately
  • Function as an advocate and decrease unnecessary Build and maintain relationships with members and other authorized member representatives
  • Educate members on program benefits and preventative care
  • Maintain contract expertise through internal as well as external trainings and education programs
  • Increase continuity of care by managing relationships with providers involved
  • Assist in gaining availability for future appointments
  • Complete initial assessment interviews
  • Assist in provider selection for annual screening exams, diagnostic evaluations as well as treatment appointments
  • Acknowledge member's rights on confidentiality issues, maintain patient confidentiality at all times, and follows HIPAA guidelines and regulations

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
  • Experience with medical terminology or completion of medical terminology course
  • Intermediate computer skills include Microsoft Office, Microsoft Outlook, Microsoft Excel, and Microsoft Word
  • Excellent written and verbal communication, telephone etiquette and interpersonal skills
  • Must have strong organizational, multi-tasking and time management skills
  • Must be able to implement problem solving skills to facilitate timely completion of required responsibilities for a wide range of cases
  • Must be 18 years of age OR older
  • Ability to work full-time, Monday - Friday between 8:00am - 5:00pm EST including the flexibility to work occasional overtime given the business need

Preferred Qualifications:

  • Previous applicable healthcare experience
  • Knowledge and understanding of CPT and ICD coding
  • Call center experience
  • National Career Readiness Certificate

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.

California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for this is $19.47 - $38.08 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.

#RPO

Created: 2024-06-27
Reference: 2231591
Country: United States
State: Texas
City: Dallas
ZIP: 75287



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