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.

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

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

ESSENTIAL DUTIES AND 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
• 12. 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 FUNCTIONS:

• 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 (or higher)
• 2+ years of experience in a medical back office or medical field position
• Intermediate level knowledge of medical terminology

Preferred Qualifications:

• Managed Care experience
• Proficiency with Data entry, Microsoft Word, Microsoft Excel
• Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations
• 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
• General knowledge of managed care, third party payers, regulatory requirements and government entitlement programs
• Ability to read and interpret daily department reports that include raw data, trends displayed in graphs

Soft Skills:

• Excellent communication skills, particularly telephone skills
• Self-motivated with effective critical thinking skills
• Ability to work collaboratively
• Typing skills and basic computer skills
• Ability to multi-task and support other areas of the department as needed
• Analyze, and interpret job related scientific and technical journals, financial and data reports and legal documents
• 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
• Explain, share and use this data with all staff members

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

California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington or Washington, D.C. residents is $16.54 to $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.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

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 #green

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